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 ...

The U.S. Centers for Medicare & Medicaid Services (CMS) announced a major expansion of its audit efforts for Medicare Advantage (MA) plans, aiming to crack down on overbilling and recover government ...

The Minnesota Department of Human Services (DHS) has begun "enhanced prepayment review" of Medicaid service programs, ...

For more than 30 years, Washington has known that Medicaid hemorrhages taxpayer dollars through fraud, waste, and abuse, ...

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 ...

A new audit-like process designed to test the validity of nursing homes’ quality data is being pushed back until early 2026.

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 ...

$700 Million in Improper Medicare Payments Saved by CMS Recovery Audit Contractor Program CMS has released a report offering fresh evidence that the recovery audit contractors (RACs) pilot program is ...

Is that an audit in your pocket, or are you just glad to see me? We knew they would be coming. We just weren’t sure how and when audits related to the CMS EHR Incentive Programs would first appear.