The Blue Cross Blue Shield Association wants Congress to establish a payment benchmark for out-of-network clinicians, such as emergency room physicians, as part of a legislative solution to surprise ...

Medical bills are complicated, and sometimes they include charges that the law doesn’t allow. Some bans are federal and protect most patients, while others are state-specific or apply to Medicaid or ...

UnitedHealth Group revealed Thursday it is facing a Justice Department investigation over its Medicare billing practices. It comes after the Wall Street Journal reported in May that the Department of ...

UnitedHealth Group announced Thursday that it is under an investigation by the Department of Justice over the insurance company's Medicare billing practices. UnitedHealth says it proactively reached ...

This national study of neonatology services found no clear evidence that state surprise billing regulations influenced prices or provider network participation for the commercially insured. Objective: ...

UnitedHealth Group confirmed Thursday the company is facing criminal and civil investigations from the Department of Justice (DOJ) related to its Medicare billing practices. The health care giant said ...

Rutherford, New Jersey – Kennedy Vuernick, a leading legal firm specializing in anti-fraud cases, is pleased to announce a groundbreaking victory in a Medicare fraud lawsuit. The firm has secured a ...

Medicare provides healthcare for 68.6 million beneficiaries. The One Big Beautiful Bill, which was signed into law by President Trump last week, promised sweeping changes to Medicare, but only one ...

New changes in Medicare rules for 2017 make it more attractive for physicians to earn extra reimbursement for monitoring patients with multiple chronic conditions. The program, launched 2 years ago, ...