The Department of Health and Human Services Office of Inspector General (OIG) recently issued a report focused on what it characterized as ...

Medicare Part B premiums will rise by about 10 percent in 2026 according to a new notice from the Centers for Medicare and Medicaid Services (CMS). CMS released a notice laying out the monthly ...

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 ...

The OIG found that despite prior audits and corrective actions, some of the same issues persist, such as states continuing to ...

Medicare's Part B premium will rise to $202.90 in 2026, a 9.7% increase, due to projected price changes and utilization. Medicare aims to reduce spending on skin substitutes to offset costs.

The New York Attorney General’s Office imposition of a $250,000 penalty on MVP Health Care for maintaining an inaccurate mental health ...

Medicare Part B spending on skin substitutes used on hard-to-heal wounds is drawing new scrutiny in a federal watchdog report, even as wound clinicians make their case for access to those alternatives ...

New voluntary guidance for nursing home compliance is already being used to chart audit and investigation activity, a pair of compliance experts said here Monday.

A recent HHS Office of Inspector General (OIG) report examines Medicare services provided during the Medicare Severity Diagnosis Related Group (DRG) payment window – that is, the period when certain ...

Medicare paid an average of $919 for beneficiaries’ back braces between 2010 and 2011 — four times greater than the average $191 cost to suppliers, according to a report from the HHS Office of the ...

A recent report by the HHS’ Office of Inspector General found that in 2007, Medicare overpaid physicians by an estimated $13.8 million due to incorrect site-of-service codes attached to claims.