The Trump administration and 119th Congress are preparing to reduce federal expenditures by targeting Medicare and Medicaid fraud, waste, and abuse. Medicare enrollment revocations, Medicaid ...

The Centers for Medicare & Medicaid Services (“CMS”) continued its efforts to increase oversight of the Medicare program by updating Medicare provider enrollment regulations and policies through ...

The federal government is continuing efforts to strengthen Medicaid program integrity, announcing Tuesday the Centers for Medicare & Medicaid Services (CMS) will begin providing states new eligibility ...

CMS has finalized policies from a proposed rule concerning the program integrity of the Patient Protection and Affordable Care Act health insurance exchanges. The final rule focuses on integrity ...

Two recent publications issued by CMS clearly indicate that the organization is tightening its requirements for the documentation required to support medical necessity and mandated signatures on ...

New Trump administration policies meant to tackle fraud and abuse in Affordable Care Act plans would make it significantly harder for Americans to enroll in the coverage, experts say. On Monday, the ...

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services (CMS) announced a new oversight initiative aimed at ensuring that enrollees in Medicaid and the Children’s Health Insurance Program ...