Print and complete the “ Medicare Redetermination Request — 1st Level of Appeal ” form. Gather evidence to support your claim. This could be anything that will help Medicare understand why ...

Medicare doesn’t cover drugs when people take them off-label. For this reason, it doesn’t cover the pill form of semaglutide for weight loss.

Original Medicare (parts A and B) plans do not cover fitness programs or gym memberships. However, many Medicare Advantage and Medigap plans offer this type of coverage as an additional benefit.

CMS has unveiled the Wasteful and Inappropriate Service Reduction model, a new Innovation Center initiative that will add prior authorization for some traditional fee-for-service Medicare services.

Some fee-for-service spine procedures in traditional Medicare will have prior authorizations added, according to CMS’ new Wasteful and Inappropriate Service Reduction model. CMS is partnering with AI ...

The Centers for Medicare & Medicaid Services (CMS) has said it will announce the next 15 drugs in scope for the second round of the Medicare negotiation programme by 1st February next year, with ...

Home care providers are monitoring a new Centers for Medicare & Medicaid Services Innovation Center model that will add prior ...

Since the 2006 update of the American Heart Association (AHA)/American College of Cardiology Foundation (ACCF) guidelines on secondary prevention, 1 important evidence from clinical trials has emerged ...