On July 15, 2025, the Centers for Medicare & Medicaid Services (CMS) released an Audit and Enforcement Report summarizing its annual Medicare Advantage (Part C) and Prescription Drug (Part D) program ...
A review by the Office of Inspector General has found little improvement in CMS’ reporting of adverse actions for providers since the OIG made a recommendation in 2010 to improve the reporting process ...
If a person has concerns about Medicare fraud, there are various avenues they can pursue for reporting it. Medicare fraud is the intentional misuse of personal medical information to receive ...
Medicare allegedly paid 15M for ED services billed at nonemergency sites, prompting OIG findings and CMS response on improper payments.
WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services released its latest improper payment estimates, reporting tens of billions of dollars in payments that failed to meet program ...
OIG Finds CMS Does Not Report Disciplined Providers to National Database for Fraud The Office of the Inspector General has released a report that examines whether the Centers for Medicare & Medicaid ...
Medicare fraud is when a person knowingly submits false information or misuses the Medicare system to achieve personal financial gain or to receive benefits for which they are ineligible. Medicare has ...
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