Genexe, LLC and others pay $6 million to resolve allegations of Medicare fraud involving medically unnecessary genetic tests and kickbacks. Enforcement in healthcare compliance continues.
Most U.S. workers and retirees remain confident about retirement savings, but concerns grow over potential Social Security and Medicare benefit cuts and rising healthcare and inflation costs.
New Harvard study compares radiotherapy utilization and spending between Medicare Advantage and Traditional Medicare, highlighting longer treatment durations and higher costs for MA patients.
Understand Medicare enrollment periods and penalties with insights on timely Medicare Part B registration, COBRA implications, and penalty costs for insurance professionals.
Federal court permits whistleblower FCA claims alleging improper Medicare Part C billing by UnitedHealthcare of Georgia, highlighting compliance scrutiny in Medicare Advantage billing.
With over 4 million Americans turning 65 in 2024, timely Medicare enrollment during the Initial Enrollment Period is critical to avoid penalties and optimize healthcare coverage. Learn key insights on navigating Medicare plans effectively.
The Medicare for All Act aims to expand Medicare to cover all Americans comprehensively, eliminating premiums and deductibles while addressing health care affordability and systemic inefficiencies.
Rodney L. Yentzer sentenced to 42 months for defrauding Medicare and Medicaid through unnecessary urine drug tests, resulting in multi-million dollar restitution. Case underscores insurance fraud risks in healthcare diagnostic billing.
Proposed federal cuts to Medicaid and Medicare threaten the financial sustainability of rural hospitals like Monadnock Community Hospital, impacting care delivery and staffing. Explore strategic responses and implications for healthcare reimbursement and compliance.
Explore CMS's FY 2026 proposed Medicare IPPS rule detailing hospital payment increases, uncompensated care funding, quality program updates, and regulatory streamlining affecting hospital reimbursement and compliance for 2025-26.
