CMS increases Medicare audits in nursing homes following a rise in improper payments to 17.2% in 2024, urging better documentation and compliance to avoid denials and penalties.

Medicare’s 2025 open enrollment period ends December 7. Learn key details on plan options, enrollment processes, and compliance for insurance professionals.

North Carolina appeals court upholds contempt ruling against Greg Lindberg for violating asset protection orders in insurance company rehabilitation, emphasizing strict judicial oversight of related-party transfers and compliance.

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North Country HealthCare in Arizona terminated its employee health plan amid a federal lawsuit alleging mismanagement of insurance premiums, raising compliance concerns for community health providers.

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Michigan pharmacist sentenced to 46 months for $4M Medicare fraud involving phantom prescriptions. DOJ Health Care Fraud Strike Force prosecuted the case.

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Aviva upgrades individual annuities with GBST’s Composer SaaS platform, boosting modernization, compliance, and product innovation in retirement income solutions.

A recent case of Medicare billing fraud involving a Florida supplier reveals vulnerabilities in claim processing and CMS enforcement measures to combat provider fraud.