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 ...

Premium hike due Medicare Advantage overpayments adds $13.4B to 2025 Medicare Part B premiums, impacting beneficiaries and taxpayers nationwide.

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 ...

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 ...

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 ...

The Situation: The Center for Medicare and Medicaid Services ("CMS") has announced significant changes to its value-based payment model portfolio projected to save $750 million as part of a shift in ...

Days after a national report called on the Centers for Medicare & Medicaid Services to eliminate an antipsychotics quality measure because it limits access to treatment for some dementia patients, the ...

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 ...