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 ...
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 ...
On October 31, 2025, the Centers for Medicare & Medicaid Services (CMS) released its Final Rule for the Calendar Year (CY) 2026 Physician Fee Schedule (PFS), detailing significant updates to Medicare ...
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 ...
Medicare Part B covers many essential services, but not everything. Learn the 12 services it pays for and the 5 common costs ...
Social Security payments may have risen 2.8 percent in 2026 thanks to the annual Cost-of-Living Adjustment (COLA), but ...