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.
CMS Proposes Major Changes to Medicare Advantage and Part D for 2027
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 Seeks Input on 2027 Medicare Advantage, Part D, and Cost Plan Regulatory Updates
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 2026 Updates Expand Community Health Integration Provider Eligibility and Initiating Visits
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.
Georgia Man Sentenced for $7.2M Medicare Genetic Testing Fraud Scheme
Patrick C. Moore Jr. sentenced to nearly four years in federal prison and ordered to pay $7.2 million for orchestrating a Medicare fraud scheme involving unnecessary genetic tests and illegal kickbacks.
Georgia Man Sentenced for $7.2M Medicare Genetic Testing Fraud Scheme
Georgia man sentenced to nearly four years in prison and ordered to pay $7.2 million for orchestrating a Medicare fraud scheme involving unnecessary genetic testing and illegal kickbacks.
Understanding IRMAA: Influence on Medicare Premiums for Higher-Income Beneficiaries
Explore how IRMAA impacts Medicare premiums for higher-income beneficiaries and its significance for U.S. healthcare insurance and compliance professionals.
HHS-OIG Flags $39.6M in Podiatry E/M Billing for CMS Oversight
HHS-OIG audit uncovers $39.6 million in potentially improper podiatry E/M payments, urging CMS to enhance Medicare oversight in billing practices.