In a letter to Gov. Tim Walz, Dr. Oz said the Centers for Medicare and Medicaid Services will start auditing Minnesota ...

Dr. Oz targets alleged multimillion-dollar Minnesota Medicaid fraud, calling it potentially the "largest scam ever" as he ...

The Senate Special Committee on Aging has released a report on Medicare audit programs — a topic the committee held a hearing on yesterday. Here are three findings from the report. 1. CMS and its ...

The CMS will crack down on overpayments to Medicare Advantage plans, moving to significantly expand its capacity to audit whether insurers are inflating their enrollees’ illnesses, the agency said ...

Insurers offering Medicare Advantage and Medicare prescription drug plans were fined more money in the first four months of this year than in the past four years combined, according to a Healthcare ...

Contractors hired by Medicare to audit the payment records of healthcare providers have a good track record spotting improper billing, the Department of Health and Human Services Inspector General ...

For the 12th year in a row, the Centers for Medicare and Medicaid Services has elected to use McKesson Medical-Surgical’s InterQual Criteria for its Medicare inpatient services auditing program, ...

The agency announced the new step on Thursday. It comes at the order of the federal Centers for Medicare and Medicaid ...

If the Medicare Advantage program isn’t in crisis, it’s doing a terrific impersonation of something that is. The latest blow comes from Mehmet Oz, the physician and former TV personality turned MAGA ...