Tag: Healthcare Compliance

Medicare Telehealth Services: Retroactive Coverage During Government Shutdown

Discover how Medicare's telehealth services are covered retroactively during the October 2025 government shutdown, ensuring no financial penalties for patients.

New Proposed Regulations for Medicare Advantage Modernization

Discover the new CMS proposed regulations for Medicare Advantage and Part D aimed at modernization by 2027, impacting quality measures and beneficiary protections.

Medicare Fraud Scheme Targets Seniors and Veterans in South Carolina

A Medicare fraud scheme in Oconee County, SC, targets seniors and veterans with bogus medical equipment bills, highlighting ongoing challenges in Medicare compliance and fraud prevention.

CMS Proposes 24 Quality Measures for Medicare Under Annual Review

CMS has published 24 quality and efficiency measures for Medicare programs, emphasizing digital data use and targeting chronic conditions and safety priorities. Public commentary is open through January 6.

Navigating Offshoring Compliance for PHI in US Healthcare Administration

Explore regulatory and compliance challenges U.S. healthcare providers face when offshoring PHI-related administrative functions amid evolving federal, Medicare, Medicaid, and state requirements.

Medicare Cognitive Screening: Early Detection and Coding Compliance Guide

Explore Medicare cognitive screening during Annual Wellness Visits, early detection of cognitive impairment, and compliant ICD-10 coding (G31.84) to ensure accurate documentation and billing practices.

Securities Lawsuit Targets Inspire Medical Over Device Launch Failures

A securities class action lawsuit alleges Inspire Medical Systems concealed operational failures during the Inspire V device launch, causing substantial stock decline and regulatory scrutiny.

StateWide Highlights Medicare Card Scams as December Fraud Threat

New York's StateWide Senior Action Council spotlights Medicare Card Scams as December's Medicare Fraud of the Month, offering resources to protect seniors from fraud and abuse.

Ongoing Medicare Scams Highlight Importance of Vigilance and Reporting

Medicare scams continue year-round, using impersonation tactics to access personal information. Authorities report billions in fraudulent claims. Learn how to identify and report scams to protect Medicare beneficiaries.

CMS Indefinitely Suspends Off-Cycle Skilled Nursing Facility Revalidation Deadline

CMS indefinitely suspends skilled nursing facility provider enrollment revalidation deadline, altering compliance landscape and emphasizing ongoing disclosure obligations for facilities undergoing ownership changes.