CMS will deny certain Medicare claims that don't contain a valid national provider identifier for the ordering or certifying healthcare professional starting Jan. 6.
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The American Medical Association has found a single health insurance company has a commercial market share of 50 percent or more in 15 states.
Health insurer Humana has halved its expectations for the health insurance exchange open enrollment period and predicts federal officials will push back the sign-up deadline because of technical issues with the federal exchange site, according to a Reuters report.
Frisbie Memorial Hospital in Rochester, N.H., has taken formal legal action concerning its exclusion from Anthem Blue Cross and Blue Shield of New Hampshire's narrow provider network, according to a Foster's Daily Democrat report.
The nation's five largest investor-owned health insurers totaled nearly $80 billion of revenue combined in the third quarter of fiscal year 2013, pocketing about $3.7 billion of that amount in profit.
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Health insurer Humana's third-quarter net income decreased 13.6 percent, from $426 million in 2012 to $368 million this year.
Mississippi Gov. Phil Bryant has rescinded parts of his executive order meant to force Blue Cross & Blue Shield of Mississippi to reinstate 10 hospitals owned by Naples, Fla.-based Health Management Associates into its network, according to a Mississippi Business…
CMS has issued more guidance related to its new regulation that generally considers inpatient admissions spanning two midnights as qualifying for payment under Medicare Part A.
Many health insurers are cancelling individual insurance plans because the policies aren't "grandfathered" and don't meet PPACA requirements, according to the trade group America's Health Insurance Plans.
Medicare inappropriately paid $23 million for services recorded as rendered after beneficiaries had died, despite CMS safeguards meant to prevent such payments, according to an HHS Office of Inspector General report.