The Inflation Reduction Act (IRA) of 2022 has brought new urgency to defining the phrase “unmet medical need,” or UMN. The Centers for Medicare and Medicaid Services (CMS) will consider the extent to ...

The following Q&A comes from the Centers for Medicare & Medicaid Services website. Q: What is the updated definition of “new patient” for billing evaluation and management (E/M) services? A: Interpret ...

If you have a bacterial infection, you need to take antibiotics. If health care providers need to determine that you have a broken bone, you’ll need to have an X-ray. Those are some examples of ...

Medicare often states that services, equipment, and treatment must be medically necessary for them to be covered. If something is deemed not to be medically necessary, Medicare may not cover it.

Major policy shifts could redefine how Medicare operates, bringing new cost pressures and altering the patient experience.

The Centers for Medicare & Medicaid Services (CMS) released a final procedural notice on Wednesday to expedite Medicare coverage of novel medical devices and get the devices to Medicare beneficiaries ...