CMS initiates the WISeR Model in six states to employ AI-driven prior authorization, targeting reduced low-value services and Medicare spending under traditional fee-for-service programs.

Mohammed Asif sentenced for Medicare fraud involving billing for unperformed lab tests, underscoring enforcement in diagnostic testing compliance.

Mohammed Asif sentenced to two years federal prison for Medicare fraud exceeding $1 million, involving false COVID-19 test claims in Washington State. Restitution ordered and ongoing investigations for additional fraud participants.

Fadel Alshalabi, owner of Crestar Labs in Tennessee, sentenced to five years for orchestrating a $129M Medicare and Medicaid kickback and billing fraud scheme involving unauthorized genetic tests.