Medicare primarily operates a fee-for-service (FFS) payment system. This means that healthcare professionals and facilities bill Medicare for each service they provide, with itemized costs appearing ...

On October 31, 2025, the Centers for Medicare & Medicaid Services (CMS) issued the physician fee schedule (PFS) final rule for calendar year (CY) ...

Original Medicare primarily operates on a fee-for-service (FFS) system, billing for each service provided. Some Medicare Advantage (Part C) plans also use this payment model via private FFS plans.

Every July, the Centers for Medicare & Medicaid Services (CMS) publishes two proposed rules relating to how it plans to administer the Medicare Part B program for the next calendar year: the physician ...

Medicare pays physicians in traditional fee-for-service through the Physician Fee Schedule (PFS), which sets specific payment ...

CMS finalizes 2026 physician fee schedule, introducing two conversion factors and updates to practice expense methodology for Medicare payments.

Private Fee-for-Service (PFFS) plans are one of four main types of Medicare Advantage policies that private insurance companies administer. The plans have specific rules relating to costs paid to ...

SmartAsset reports on Medicare preferences, revealing state-level insights on payouts, enrollment types, and health risks for ...

The fees are not passed on, in whole or in part, to a client or customer of an entity, regardless of whether the entity takes title to the drug. See 42 C.F.R. § 414.802. The proposed rule would add ...

As open enrollment rolls on, thousands of Rhode Islanders will have the option to select plans for Medicare. Here’s a guide ...

Individuals need to pay a late enrollment penalty if they do not enroll in Medicare Part B when they become eligible. Online resources can help them calculate how much this fee will be. If a person ...

If you do not sign up for Medicare Part B when you become eligible, you may have to pay a late enrollment penalty. You will typically become eligible for Medicare when you turn 65 years old. If you do ...