A federal watchdog said Tuesday it has begun auditing nursing homes’ use of the Patient Driven Payment Model to drive skilled ...

The CMS could use its competitive bidding program to address price concerns, after payments for the devices swelled over five ...

Medicare payments for continuous glucose monitors (CGMs) and supplies exceeded supplier acquisition costs by $377 million (or 69%) and their total estimated costs by $70 million (or 8%) ...

Pinnacle Multicare Nursing and Rehabilitation Center received overpayments exceeding $31.2 million, as a result of noncompliance with Medicare ...

The Office of Inspector General (OIG) has released a new video on combating durable medical equipment (DME) fraud.

On October 28, 2025, HHS Office of Inspector General (OIG) posted an audit report finding that Medicare improperly paid suppliers $22.7 million over seven years for durable medical equipment, ...

Medicare Advantage organizations may be improperly using health risk assessments to increase risk-adjusted reimbursement, according to a report HHS’ Office of Inspector General issued in September.

The Office of the Inspector General (OIG) has been cracking down recently on Medicare overpayments to hospitals. Following an audit report done on March 13, OIG found that Boston's Brigham and Women's ...

The Office of Inspector General has released a report examining prior authorization patterns from seven managed care companies, and based on the findings is urging increased oversight of prior ...

Medicare paid 18 to 30 percent more than state Medicaid and federal employee health plans for 20 of the highest volume or highest cost laboratory tests in 2011, according to a new report by HHS’ ...