HRS Home Health received overpayments of at least $100,696, according to a recent audit report from the Office of Inspector General (OIG). The results ...

The Office of the Medicaid Inspector General's audit practices are unintentionally weakening New York's safety net.

To prepare for CMS’ new risk adjustment data validation (RADV) strategy, Medicare Advantage plans must take a coordinated, ...

The inspection, conducted by Brazilian regulatory authority ANVISA, was held between June 30 and July 4. Earlier, it had ...

I moderated a HHCN+ TALKS episode – our exclusive opportunity for HHCN+ members to hear from and engage directly with leading ...

Whistleblower demands California regulators rescind restructuring of Blue Shield of California, which established a new ...

House Republicans passed the wide-ranging Trump tax legislation dubbed the One Big Beautiful Bill Act, overcoming resistance ...

If the omnibus Trump bill is approved, New York health officials say the overall impact to the state would be "devastating" ...

Bubar."Fraud against our healthcare system is not a victimless crime - it threatens patient care, burdens taxpayers, and undermines trust in critical programs," Bubar said. "Today's charges ...

A new lawsuit filed by California Attorney General Rob Bonta alleges that a multilayered group of for-profit businesses, most based in Carlsbad, intentionally siphoned millions from 19 skilled nursing ...

Continuing its efforts to reduce fraud, waste, and abuse in Medicare, the Centers for Medicare & Medicaid Services (CMS) has announced plans to significantly enhance Risk Adjustment Data Validation ...

Duncan, who formerly served as Georgia's lieutenant governor as a Republican, expressed frustration with the field running for governor so far from both parties.