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 ...
Medicare allegedly paid 15M for ED services billed at nonemergency sites, prompting OIG findings and CMS response on improper payments.
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 ...
Network adequacy remains a significant challenge for behavioral healthcare in Medicare Advantage (MA) and Medicaid managed care, according to a new report. Analysts at the Department of Health and ...
The Office of the Inspector General (OIG) has been cracking down recently on Medicare overpayments to hospitals. Following an audit report done on March 13, OIG found that Boston's Brigham and Women's ...
A recent report published by the Office of the Inspector General showed the Medicaid program pays significantly less than Medicare for drugs. The OIG compared the prices paid (including rebates) for ...
The CMS could use its competitive bidding program to address price concerns, after payments for the devices swelled over five years, the government watchdog said. Medicare first started covering CGMs ...
Some results have been hidden because they may be inaccessible to you
Show inaccessible results