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.
Explore regulatory and compliance challenges U.S. healthcare providers face when offshoring PHI-related administrative functions amid evolving federal, Medicare, Medicaid, and state requirements.
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.
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.
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.
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 skilled nursing facility provider enrollment revalidation deadline, altering compliance landscape and emphasizing ongoing disclosure obligations for facilities undergoing ownership changes.
CMS's 2027 Proposed Rule introduces major Medicare Advantage and Part D program reforms including Star Ratings revisions, risk adjustment data access expansion, marketing rules relaxation, and new special enrollment periods for provider terminations.
CMS requests public comments on 2027 proposed regulatory changes to Medicare Advantage, Part D, and Cost Plan programs to streamline compliance and reduce administrative burdens.
CMS's 2026 Physician Fee Schedule rule expands eligible providers and initiating visits for Community Health Integration services, enhancing behavioral health integration and reimbursement pathways.
