Fraudulent Hospice Activities Lead to $50 Million Medicare Scheme Arrests
Eight individuals have been arrested for a $50M Medicare fraud scheme. Learn about the crackdown on hospice fraud in California and government efforts to enhance oversight.
Understanding the Occupational Mix Survey for Medicare Reimbursement
Learn how the Occupational Mix Survey impacts Medicare reimbursements and hospital financials. Ensure data accuracy ahead of critical deadlines!
Navigating Updates to CMS Quality Payment Program and MIPS
Learn how to navigate the 2026 updates to the CMS Quality Payment Program and MIPS for maximum Medicare reimbursements effectively.
Concerns Over Hospice Fraud at Merabi Plaza: A Case Study
Explore the fraud concerns at Merabi Plaza, with 89 hospice companies. Learn about Medicare oversight, regulatory violations, and the fight against fraudulent practices.
Updated CMS Guidance on Organ Donation Processes and OPO Responsibilities
Explore the new CMS guidance on organ donation processes and OPO responsibilities, enhancing oversight and accountability within the healthcare system.
Regulatory Challenges in Medical Genetic Testing: Medicare Spending Analysis
Explore the OIG's Medicare report on rising genetic testing costs and regulatory implications for laboratory services. Key compliance insights for providers.
CMS Implements Moratorium on New DMEPOS Suppliers to Combat Fraud
CMS halts enrollment for new DMEPOS suppliers for six months to combat fraud and ensure Medicare program integrity. Stay informed and prepared.
Kaiser Permanente Settles $556M False Claims Act Case Related to Medicare Advantage
Kaiser Permanente's $556 million settlement over False Claims Act violations emphasizes the DOJ's crackdown on Medicare Advantage coding practices. Learn more!
CMS Issues Moratorium on DMEPOS Supplier Enrollment to Combat Fraud
CMS pauses new supplier enrollment in Medicare DMEPOS for 6 months to enhance fraud detection. Significant implications for healthcare integrity and compliance.
Two Executives Sentenced to 20 Years for ACA Fraud Scheme
Two insurance executives sentenced for ACA fraud, highlighting the need for compliance and integrity in healthcare. Key takeaways for the industry.