Blog Fraud Medicare 
Hall Render
JANUARY 29, 2025
The Centers for Medicare & Medicaid Services (CMS) is reinforcing its emphasis on hospice quality of care and identifying fraud. Hospice surveys are performed before their initial certification for Medicare participation. Identifying Fraud : Detecting practices that jeopardize patient safety or Medicare program integrity.
Hall Render
NOVEMBER 1, 2024
Health care fraud remains a significant focus for federal and state enforcement agencies, with particular attention placed on the integrity of Medicaid and Medicare billing. He was also ordered to pay $557,000 in restitution to Indiana Medicaid and Medicare. As such, providers should prioritize billing compliance.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Health Law Checkup
JANUARY 20, 2022
Can a whistleblower successfully allege Medicaid/Medicare fraud if the whistleblower lacked direct access to records related to the alleged fraud? While the appellate circuits are still split on this issue, we look at recent decisions that indicate a possible shift in the Seventh Circuit’s pleading standard.
American Medical Compliance
JUNE 21, 2024
The Department of Health and Human Services (HHS) estimated that improper payments in the Medicare and Medicaid programs exceeded $100 billion from 2016 to 2023. Fraud, waste, and abuse (FWA) in healthcare present significant challenges, causing substantial financial losses, eroding public trust, and compromising the quality of patient care.
Healthcare Blog
JANUARY 19, 2025
CMS Medicare Swing Bed Rules and Regulations for Critical Access Hospitals (CAHs) Critical Access Hospitals (CAHs) are the backbone of rural healthcare, providing essential services to underserved communities. Why Are Medicare Swing Bed Rules So Important to Follow? Prevent fraud and abuse of Medicare funds.
American Medical Compliance
OCTOBER 25, 2024
Audits serve as a critical defense against fraud and inefficiency while fostering trust in your practice. It could target several key areas, such as patient privacy and security to ensure compliance with HIPAA guidelines, or billing and coding accuracy to prevent fraud and abuse under CMS regulations.
MedTrainer
MAY 3, 2024
Healthcare fraud, waste, and abuse is a costly problem for both public and private payers. The National Health Care Anti-Fraud Association estimates financial losses due to healthcare fraud could be as much as $300 billion annually. Keep in mind that these are just examples of provider fraud!
Expert insights. Personalized for you.
80 
Let's personalize your content