Generally, you or your provider have 12 months to file a claim from the time you receive medical care. However, some circumstances can allow for an extension. If Medicare denies the claim, you can ...
On October 21, 2025, CMS released a Medicare Learning Network (MLN) Connects Newsletter announcing that the claims hold ...
Dear Toni: My husband recently retired from his job, and because I am over 65, I need to sign up for Medicare. I went to the local Social Security office with the proper documents to enroll in ...
CMS has clarified that only select Medicare claims will be held amid the ongoing federal government shutdown, walking back an earlier notice that suggested a broader payment pause. “In light of the ...
Toni King has authored several books on the subject of Medicare and has appeared regularly as a guest on the American Family Radio Network. My husband recently retired from his job, and because I am ...
Usually, a person or their healthcare professional must file a claim within a year of the person receiving care, but certain situations may extend timely filing. If Medicare rejects the claim, a ...
A controversial new Medicare pilot program will introduce AI-driven prior authorization, with contractors paid to deny claims. Starting January 2026, the Wasteful and Inappropriate Services Reduction ...
A bipartisan group of lawmakers has introduced legislation in both chambers of Congress requiring Medicare Advantage (MA) plans to promptly pay out providers’ claims, with up to a $25,000 fine and ...
My husband recently retired from his job, and because I am over 65, I need to sign up for Medicare. I went to the local Social Security office with the Medicare documents that Toni discusses in her ...
Dear Toni,My husband recently retired from his job, and because I am over 65, I need to sign up for Medicare. I went to the local Social Security office with the Medicare documents that Toni discusses ...
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