Effective January 1, 2026, Medicare providers and suppliers will be subject to a swath of new policies related to enrollment with the Centers for Medicare & Medicaid Services (CMS). These new policies ...

The US Centers for Medicare & Medicaid Services (CMS) finalized important changes to the Medicare provider and supplier enrollment regulations, including adding marriage and family therapists (MFTs) ...

Insurance verification can have a significant impact on a hospital’s bottom line. This is why hospitals go to great lengths to ensure a patient’s insurance is verified well in advance of an encounter ...

Hospitals and health systems face relentless financial pressure, yet many continue to forfeit revenue due to outdated and inefficient credentialing and payer enrollment processes. Forward-thinking ...

Provider fraud in Medicare and Medicaid is a persistent, complex, and costly challenge, threatening the integrity of the nation’s most vital healthcare programs. Fraudulent activities, ranging from ...

Open enrollment for 2026 coverage is underway and is running through January 15, 2026, against a backdrop of unprecedented premium increases and policy uncertainty. Last year’s enrollment reached a ...

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