As the fog of the COVID-19 war continues to dissipate, it has become increasingly clear that hundreds of billions of dollars were needlessly added to the national debt due to the government’s ...

Organizations across the health care continuum, including the home-based care industry, have responded to the Centers for ...

CMS is gathering information for and seeking industry feedback on a project that would consolidate the audit and investigation services for Medicare and Medicaid integrity functions, creating new ...

Amber Nigam is CEO and cofounder of basys.ai, a Harvard-based company streamlining prior authorization for health plans with agentic AI. Fraud, waste and abuse (FWA) has historically been addressed at ...

Add Yahoo as a preferred source to see more of our stories on Google. Mar. 18—WILKES-BARRE — Rep. Brenda Pugh on Tuesday said widespread unemployment fraud and Pennsylvania's ongoing failure to meet ...

As Congress continues to debate next steps on the Affordable Care Act's (ACA's) enhanced subsidies, insurers are urging legislators to consider an extension with additional program integrity measures ...

Workload data used by CMS to oversee Zone Program Integrity Contractors has been inaccurate and inconsistent, and this has led to several ZPIC reporting errors and inconsistencies within information ...

A new roadmap was unveiled Monday with recommendations to prevent, detect, and respond to fraud across Minnesota’s executive agencies. The roadmap was prepared by Tim O’Malley, Director of Program ...