The Trump administration says its war on fraud applies to the entire country. But only blue states have had their Medicaid ...

The Centers for Medicare & Medicaid Services (CMS) published a proposed rule (CMS-1844-P) on July 6, 2026, updating the Medicare Home ...

One key to success has been to finally acknowledge the scale of the problem and adapt appropriately.

Serco Awarded $109 Million CMS CERT Contract, Extending Support of Medicare Program Integrity The CMS CERT program is a vital ...

Medicaid programs are in a period of heightened scrutiny, as states confront growing complexity in how these programs are administered and sustained. A recent Kaiser Family Foundation analysis ...

Designed with direct input from clients, Gainwell Provider Everywhere supports compliance with CMS revalidation requirements, strengthens program integrity, and reduces administrative burden for provi ...

Commence has been awarded a prime contractor position on the Centers for Medicare & Medicaid Services (CMS) Research, Measurement, Assessment, Design, and Analysis (RMADA) 3 indefinite-delivery, ...

Dr. Mehmet Oz says Medicare fraud costs taxpayers about $100 billion a year and warns seniors not to give out their Medicare ...

The next major Medicare risk for spine and orthopedic practices may not begin with a denied surgical claim. It may begin with the enrollment file. CMS’ July 1 proposed rule is formally a home health ...

The Centers for Medicare & Medicaid Services proposes to raise the home health payment rate by 2.4% in 2027, but the bigger ...

ASC leaders warn a proposed CMS rule aimed at rooting out Medicare fraud could have an unintended consequence, leading them to lose enrollment because of where they operate. Tucked inside the CY 2027 ...