Dr. Oz says CMS has written letters to five states as the Trump administration intensifies its crackdown on Medicaid and ...

California has seen hundreds of hospice “takedowns” and Medicare payment suspensions targeting what the Centers for Medicare & Medicaid Services ...

States scramble submit Medicaid revalidation plans to CMS by May 23 as part of a federal effort to audit high-risk providers and reduce fraud.

Medicare abuse involves improper billing or unnecessary services. Medicare fraud involves falsifying claims. The main difference is intent, abuse is often done without intent. Medicare abuse and fraud ...

The Centers for Medicare & Medicaid Services has pledged to issue new guidance on resident abuse after a federal watchdog found the agency was failing to use claims data to spot potential cases of ...

U.S. Senator Elizabeth Warren, D-Mass., and Representative Pramila Jayapal, D-Wash., are spearheading an effort by lawmakers to compel the Centers for Medicare and Medicaid Services to look at the ACO ...

Medicare abuse generally happens when illegal practices cause unnecessary billing costs for the insurance program. Several types of Medicare abuse exist. This article describes Medicare abuse, the ...

Several lawmakers are pressing the Centers for Medicare & Medicaid Services (CMS) to expand Medicare’s coverage of substance abuse disorder to address key gaps exacerbating the addiction crisis. Rep.

Medicare abuse occurs when unnecessary costs are billed to the Medicare program. It is an illegal practice that results in billions of dollars of losses to the U.S. healthcare system every year. When ...

When people steal from Medicare, it hurts us all and is big business for criminals. June 2022 marked the 25th anniversary of the Senior Medicare Patrol (SMP) program. To commemorate this anniversary, ...