Detailed analysis of recent Medicare Advantage enforcement activities focused on broker arrangements, Oak Street settlement, and DOJ False Claims Act litigation impacting healthcare compliance and beneficiary protection.
Michigan physician sentenced to four years for involvement in $6.3 million Medicare fraud, emphasizing the need for robust fraud detection and compliance in healthcare.
CMS warns Medicare providers of rising phishing scams via fraudulent fax requests for medical records falsely linked to audits. Providers urged to verify requests to protect patient data.
New York StateWide Senior Action Council warns of Medicare fraud involving doctor spoofing calls targeting seniors, urging vigilance and reporting to curb $60B annual losses.
New York officials alert seniors to a Medicare fraud scheme exploiting expiring card fears, urging use of monitoring app and reporting scams to Senior Medicare Patrol.
IQVIA study reveals Medicare Part D plans frequently deny initial access to medications for chronic conditions, highlighting payer policy and compliance challenges.
Medicare fraud imposes a $60 billion annual cost and risks to beneficiaries. Rhode Island's Senior Medicare Patrol leads education during Medicare Fraud Prevention Week to enhance fraud awareness and protection measures.
Explore critical regulatory updates and compliance strategies for healthcare providers navigating evolving vaccine policies and Medicare billing rules. Learn from expert legal and clinical insights to manage outbreak risks and optimize revenue cycle operations.
CMS issued final rules and updates for Medicare Advantage and Part D programs for 2026, including Inflation Reduction Act implementations and inpatient care protections.
Explore essential strategies for healthcare providers and insurers to manage liability risks and insurance coverage amid anticipated regulatory changes under the 2025 U.S. presidential administration.
