On July 15, 2025, the Centers for Medicare & Medicaid Services (CMS) released an Audit and Enforcement Report summarizing its annual Medicare Advantage (Part C) and Prescription Drug (Part D) program ...
A nursing home found to have erred in 99 of 100 reimbursement submissions during the pandemic is fighting back against those ...
Add Yahoo as a preferred source to see more of our stories on Google. Mehmet Oz attends his confirmation hearing with the Senate Finance Committee in the Dirksen Senate Office Building on March 14, ...
CMS’s latest announcement comes amid increased federal scrutiny of the MA Program, as its size and cost to federal taxpayers have increased over time. By one estimate, as of 2023, the MA Program ...
Add Yahoo as a preferred source to see more of our stories on Google. The exterior of the U.S. Department of Health and Human Service in Washington, DC. (Alex Wong via Getty Images) This story was ...
CMS’ Office of E-Health Standards and Services has announced that between 5 percent and 10 percent of eligible professionals attesting for meaningful use will be selected to undergo an audit before ...
The 90 audits are the only ones CMS has completed over the past decade, a time when Medicare Advantage has grown explosively. Enrollment in the plans more than doubled during that period, passing 28 ...
Beginning immediately, the Centers for Medicare and Medicaid Services is auditing all eligible Medicare Advantage contracts in what the agency is calling a significant expansion of its efforts. The ...
Inspectors found people on Medicaid rolls in more than one state but say it's a system problem not fraud.
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