Latest insights

Learn what changes when a Medicaid resident moves from FFS to managed care and what your billing team should do next.

In this guide, we’ll cover the key things medical billers should understand, including Medicaid verification basics and priorities.

Indiana’s HEA 1277 moves long-stay residents to fee-for-service in 2027. Learn what changes, which states are next, and how to prepare your SNF billing.

When patients have both Medicare and Medicaid, it’s important to confirm which program pays for each service to avoid reimbursement issues.

Let’s look at how to check dual eligibility the right way.

Learn all the important aspects of Medicaid and Medicare billing in a convenient A-to-Z format.

Mastering the complex Medicare and Medicaid billing process is crucial for healthcare providers. Even a single mistake can lead to claim denials and revenue loss. Discover the common reasons for claim denials and specific billing errors in our article.

To better manage the needs of dual eligibles, the Centers for Medicare & Medicaid Services (CMS) is closely working on a project together with states to enable functional alignment between Medicare and Medicaid.