A HHS study found physicians are still improperly billing Medicare enrollees for services of which they should be exempt, according to The New York Times. 1. Despite official warnings about fines or ...
Fee-for-service Medicare payments per beneficiary receiving care at ASCs rose sharply over the past year, increasing 13.1% from 2023 to 2024, according to MedPAC Medicare carrier claims data published ...
The Centers for Medicare & Medicaid Services (“CMS”) has significantly increased its use of powerful program integrity tools that can revoke or deactivate billing privileges in a matter of days. These ...
Two recent Department of Justice settlements with health care providers shine a new spotlight on a long-standing risk for health care fraud and abuse. Two recent Department of Justice settlements with ...
The Trump administration has released new estimates on improper payments in key government insurance programs. | The Trump ...
UnitedHealth Group is again responding to a Wall Street Journal story about billing practices for its Medicare Advantage plan. The Department of Justice’s criminal healthcare-fraud unit is ...
Prolia (denosumab) is a medication for osteoporosis. A healthcare professional administers Prolia via injection under the skin every 6 months. Medicare covers Prolia for beneficiaries. Since a ...
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