Global period is a CMS payment rule that bundles pre-op care, surgery, and routine post-op follow-ups into ONE payment for 0, 10, or 90 days. Postoperative care is the actual clinical work (wound checks, pain management) you do after surgery. Routine postoperative care inside the global period is NOT separately billable – only unrelated problems, return to OR, … Read more
Disclaimer This article is based only on officially released CMS data dated November 14, 2025. All figures are verified against CMS publications and Federal Register notices. No estimates or assumptions are used. Quick Summary Short Answer In 2026, Medicare beneficiaries will see higher Part A deductibles and Part B premiums. The standard Part B premium … Read more
Who Is Eligible for Both Medicare and Medicaid in 2025 | Forbes Health Who Is Eligible for Both Medicare and Medicaid? The Complete 2025 Guide for Dual Eligibility and Smarter Healthcare Coverage Quick Summary If you’re a low-income senior, disabled individual, or caregiver helping someone manage medical costs, dual eligibility for Medicare and Medicaid could … Read more
Key Takeaways Quick Answer:Aetna Medicare Advantage plans are not closing or leaving the market in 2026. The company is continuing its nationwide presence while making strategic adjustments to improve plan performance, align with CMS 2026 requirements, and strengthen regional offerings. Members should check their Annual Notice of Change (ANOC) for plan-specific updates, but there is … Read more
Quick Summary In 2025, Medicare Part A premiums stay premium-free for most (99% of beneficiaries), but the deductible rises to $1,676 per benefit period—a 2.7% jump that could surprise hospital-bound seniors. Part B’s standard premium climbs to $185 monthly (up $10.30), with a $257 deductible (up $17), potentially eating into Social Security checks. No out-of-pocket … Read more
2026 is shaping up to be a landmark year for American healthcare. Major shifts in Medicare and Medicaid policy will impact coverage options, drug pricing, eligibility, and the way federal funds are distributed to states. Whether you’re a senior, healthcare professional, or policy watcher, understanding these updates is essential not just to stay informed, but … Read more
Medicare coverage typically begins on the first day of the month you turn 65 if you enroll during your Initial Enrollment Period (IEP). If you sign up later, the start date may vary based on the month of application, the enrollment window you use, and whether you qualify through disability or special enrollment. Quick Summary … Read more
If you’re looking for supplemental coverage to go with Medicare (Original Medicare Parts A & B), the top five Medigap (supplement) plans for 2025 are typically: Plan G, Plan N, Plan F (if you’re eligible), Plan A, and Plan L. Each offers a different balance of cost vs. coverage. What really matters is your health, … Read more
POS 22 in Medical Billing: What It Means In the U.S. healthcare system, billing codes are used to show where and how medical care was given. One of these codes is POS 22, which stands for “Outpatient Hospital.” This code matters because it affects how doctors and hospitals get paid, and how much patients owe. … Read more
In the world of medical billing, the tiniest details can make the biggest difference—especially when it comes to modifiers. Two of the most commonly misunderstood are modifier 25 and modifier 59. To the untrained eye, they may seem interchangeable. But in reality, using the wrong one could trigger denials, audits, or even compliance issues. If … Read more