A nursing home found to have erred in 99 of 100 reimbursement submissions during the pandemic is fighting back against those ...
On February 3, 2026, the U.S. Department of Health & Human Services, Office of Inspector General (OIG), published the long-awaited Medicare Advantage Industry Segment-Specific Compliance Program ...
Many Medicare Advantage and Medicaid managed care plans have limited networks of behavioral care providers, necessitating steps to improve the accuracy of network directories, according to a new ...
On December 16, 2025, the Office of Inspector General (“OIG”) for the U.S. Department of Health and Human Services (“HHS”) published the results of its audit of a Louisiana-based Medicare Advantage ...
A federal watchdog said Tuesday it has begun auditing nursing homes’ use of the Patient Driven Payment Model to drive skilled nursing reimbursement, and the first targeted facility is blasting the ...
Medicare allegedly paid 15M for ED services billed at nonemergency sites, prompting OIG findings and CMS response on improper payments.
Medicare Advantage organizations may be improperly using health risk assessments to increase risk-adjusted reimbursement, according to a report HHS’ Office of Inspector General issued in September.
Add Yahoo as a preferred source to see more of our stories on Google. Medicare enrollment form and money. (Getty Images) This story was originally published on MedTech Dive. To receive daily news and ...
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