Aetna, a unit of CVS Health , agreed to pay $117.7 million to resolve U.S. government charges it defrauded Medicare by knowingly submitting inaccurate diagnosis codes for morbid obesity and other ...
UNITED STATES—Dear Toni: I retired from my employer in July when I turned 67 and enrolled in COBRA, which began August 1, ...
Medicare allegedly paid 15M for ED services billed at nonemergency sites, prompting OIG findings and CMS response on improper payments.
In its 2026 Physician Fee Schedule, CMS finalized a mandatory payment model that will begin Jan. 1, 2027, and hold certain outpatient specialists financially accountable for how they manage chronic ...
CMS’s 2025 Advanced Primary Care Management program pays monthly per-patient fees for care already delivered, yet most ...