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Trump demands $1B from California over illegal immigrant healthcare in massive Medicaid audit
Federal health officials have flagged $1.3 billion in questionable Medicaid spending across seven states led by Democratic ...
On July 15, 2025, the Centers for Medicare & Medicaid Services (CMS) released an Audit and Enforcement Report summarizing its annual Medicare Advantage (Part C) and Prescription Drug (Part D) program ...
Mehmet Oz attends his confirmation hearing with the Senate Finance Committee in the Dirksen Senate Office Building on March 14, 2025, in Washington, D.C. This story was originally published on ...
On May 21, 2025, the Centers for Medicare and Medicaid Services (“CMS”) announced a significant expansion of its auditing efforts with respect to Medicare Advantage (“MA”) plans. For newly initiated ...
Increased oversight seems set to focus most intensely on risk-adjustment data validation (RADV), which confirms medical records support diagnoses used for patients. Noting in its recent announcement ...
Dr. Oz targets alleged multi-million-dollar Minnesota Medicaid fraud, calling it potentially the 'largest scam ever' as he plans comprehensive audits and clawbacks.
Beginning immediately, the Centers for Medicare and Medicaid Services is auditing all eligible Medicare Advantage contracts in what the agency is calling a significant expansion of its efforts. The ...
CMS’ Office of E-Health Standards and Services has announced that between 5 percent and 10 percent of eligible professionals attesting for meaningful use will be selected to undergo an audit before ...
An official from the Centers for Medicare and Medicaid Services said the organization would perform an “audit audit” to investigate claims about the increasing number of audits, according to a ...
Providers should prepare for the fallout following a recent CMS announcement that it will take a more aggressive approach to auditing Medicare Advantage plans. The Centers for Medicare & Medicaid ...
A supporter wears an "I love Medicaid" button during a news conference held at Pioneer Park in Salt Lake City on May 6, 2025. (Katie McKellar/Utah News Dispatch) Legislative auditors released a report ...
The Centers for Medicare and Medicaid Services is publishing a proposed rule to help states hire auditors in the Medicaid program. The Centers for Medicare and Medicaid Services is about to publish a ...
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