Hospice care has grabbed the attention of the federal government, which is vowing to decertify companies that are overbilling ...

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.

SOUTHLAKE, TX, UNITED STATES, March 24, 2026 /EINPresswire.com/ -- The Centers for Medicare & Medicaid Services ...

Medicare abuse involves improper billing or unnecessary services. Medicare fraud involves falsifying claims. The main difference is intent, abuse is often done without intent. Medicare abuse and fraud ...

The agency is looking at “testing new approaches and really being able to think outside of the box” to claw back improper ...

Several lawmakers are pressing the Centers for Medicare & Medicaid Services (CMS) to expand Medicare’s coverage of substance abuse disorder to address key gaps exacerbating the addiction crisis. Rep.

The Centers for Medicare & Medicaid Services has pledged to issue new guidance on resident abuse after a federal watchdog found the agency was failing to use claims data to spot potential cases of ...

U.S. Senator Elizabeth Warren, D-Mass., and Representative Pramila Jayapal, D-Wash., are spearheading an effort by lawmakers to compel the Centers for Medicare and Medicaid Services to look at the ACO ...

When people steal from Medicare, it hurts us all and is big business for criminals. June 2022 marked the 25th anniversary of the Senior Medicare Patrol (SMP) program. To commemorate this anniversary, ...