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 ...
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.
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 ...
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 ...
BOSTON, Dec. 15, 2025 /PRNewswire/ -- Basys.ai, an agentic AI-powered prior authorization and utilization management platform, has been selected by the Centers for Medicare & Medicaid Services (CMS) ...
LUTZ, Fla., Nov. 19, 2025 /PRNewswire/ -- MyCare Medical, a participant in the CMS Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model, expressed strong ...
Universal Healthcare North Raleigh (N.C.) and Universal Healthcare Lillington (N.C.) are both at risk of losing their Medicare certification amid allegations of patient abuse, according to WRAL. State ...
WASHINGTON, Jan. 16-- The U.S. Department of Health and Human Services' Centers for Medicare and Medicaid Services issued the following news release: - New Medicare cards offer better identity ...
Medicare abuse generally happens when illegal practices cause unnecessary billing costs for the insurance program. Several types of Medicare abuse exist. This article describes Medicare abuse, the ...
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