New voluntary guidance for nursing home compliance is already being used to chart audit and investigation activity, a pair of compliance experts said here Monday.

The Department of Health and Human Services Office of Inspector General (OIG) recently issued a report focused on what it characterized as ...

WASHINGTON - Medicare made $22.7 million in improper payments to suppliers for DMEPOS items provided to enrollees during inpatient stays that did not comply with requirements, according to a new repor ...

Many Medicare Advantage and Medicaid managed care plans have limited networks of behavioral care providers, necessitating ...

A federal watchdog Wednesday called on regulators to strengthen the Special Focus Facility program for nursing homes, saying that most facilities that graduate do not sustain improvements. Providers ...

A new report by the Health and Human Services Office of the Inspector General (OIG) analyzes Medicare Part B spending trends for skin ...

The Office of Inspector General (OIG) said in a new report that the U.S. Medicare program had overpaid a group of providers ...

The “flagship program” meant to drive quality at nursing homes most in need of improvement is not working, in part due to an overreliance on financial ...

Medicare made improper supplier payments totaling $22.7 million for inpatient durable medical equipment from 2018 to 2024, audit finds.

A report by the Department of Health and Human Services Office of the Inspector General found that many Medicare Advantage and Medicaid managed care plans offer access to a limited proportion of ...

A recent HHS Office of Inspector General (OIG) report examines Medicare services provided during the Medicare Severity Diagnosis Related Group (DRG) payment window – that is, the period when certain ...

Companies running private Medicare and Medicaid insurance plans inaccurately list many mental health professionals as being ...