The Centers for Medicare & Medicaid Services has pledged to issue new guidance on resident abuse after a federal watchdog found the agency was failing to use claims data to spot potential cases of ...

U.S. Senator Elizabeth Warren, D-Mass., and Representative Pramila Jayapal, D-Wash., are spearheading an effort by lawmakers to compel the Centers for Medicare and Medicaid Services to look at the ACO ...

In April, the Centers for Medicare & Medicaid Services (CMS) finalized new regulations that will make critical healthcare services more accessible and affordable for Americans while expanding ...

Medicare abuse involves improper billing or unnecessary services. Medicare fraud involves falsifying claims. The main difference is intent, abuse is often done without intent. Medicare abuse and fraud ...

A band of more than 50 advocacy groups is calling for the Centers for Medicare & Medicaid Services to increase its efforts to ensure seniors battling substance abuse disorders are given sufficient ...

Medicare abuse generally happens when illegal practices cause unnecessary billing costs for the insurance program. Several types of Medicare abuse exist. This article describes Medicare abuse, the ...