The OIG Just Told Us Where It’s Going Next. Are You Ready? The HHS Office of Inspector General’s Spring 2026 Semiannual Report to Congress isn’t
Two DOJ provider settlements for improper risk adjustment reporting were announced this month. For years, many of the enforcement actions were focused on the Medicare
CMS just announced a nationwide six-month moratorium on new DMEPOS enrollments and changes in majority ownership, along with new transparency measures and expanded fraud prevention
The 2025 Medicare Fee-For-Service Improper Payments Report was just released. The report identified an estimated $28.8 billion in improper payments with a payment error rate of 6.55%,
Effective January 1, 2026, CMS finalized a major shift in how skin substitute products are paid under the OPPS, ASC, and non-facility settings, with coding,
CMS released the CY 2026 OPPS/ASC Final Rule, introducing significant updates to Hospital Price Transparency (HPT) standards that take effect January 1, 2026. These revisions
