Claims overpayments are more than a nuisance; they are an epidemic. Between $68 and $226 billion is lost annually to Fraud, Waste and Abuse (FWA), according to the National Health Care Anti-Fraud ...
On July 10, 2024, the Centers for Medicare & Medicaid Services (“CMS”) issued a proposed rule (“Proposed Rule”) in which it outlined proposed amendments to the suspension provisions and deadlines for ...
A Springfield News-Sun analysis of state and federal unemployment compensation data found nearly one in five claims filed by Clark County residents resulted in an overpayment in 2012, with fraud ...
On December 9, the Centers for Medicare & Medicaid Services (CMS) published revised regulations implementing the so-called 60-day rule, under which healthcare providers and other parties generally ...
Since 2009, the Office of Medicaid Inspector General (OMIG) has offered guidance to Medicaid providers outlining participation in OMIG's self-disclosure program for reporting, returning, and ...
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