On a busy, gritty street in suburban Los Angeles, the white one-story stucco building looked like any other. Among the apartments, offices, sidewalk bodegas, the only defining feature was the building ...

Dr. Mehmet Oz, administrator of the Centers for Medicare & Medicaid Services, tells CBS News' Adam Yamaguchi, "If we could fix California it would help the rest of the country," as the state grapples ...

Los Angeles County reportedly has roughly 1,800 hospice providers with 742 companies allegedly showing indicators for fraud as defined by California.

As the Centers for Medicare and Medicaid Services calls for public feedback on how to stop lab test fraud, experts say a tailored regulatory strategy will be key to avoid stifling innovation.

VGM Government Relations has refreshed and reintroduced its Fraud, Waste & Abuse (FWA) Reporting Resource Center to help ...

As confidence grows in the technology, more than twice as many doctors now say they use artificial intelligence (AI) in their practices than they did in 2023 (81% vs 38%), according to a survey from ...

While California has been in the spotlight for its hospice fraud, it is not the only state experiencing the issue.

CMS is increasingly relying on a relatively new regulatory tool to quickly remove clinicians and companies from the Medicare system when they are even loosely affiliated with other organizations being ...

Kim Brandt, CMS’s chief operating officer and deputy administrator, said AI tools are helping the agency stop money from going out the door to fraudsters.

A spokesperson for Democratic Gov. Gavin Newsom’s office told CBS that “under Governor Newsom’s administration, California has cracked down on hospice fraud, launched partnerships across state ...

Participants in a $12.7 million Medicaid fraud scheme in North Carolina have been sentenced to more than 14 years in combined federal prison time. Earlier this month, authorities uncovered a yearslong ...

Since CMS implemented a six-month nationwide moratorium on new Medicare enrollment for certain durable medical equipment suppliers, the Justice Department has announced at least four settlements and ...