Coding abuses and Medicare Advantage Payment
The U.S. Department of Health and Human Services Office of Inspector General’s new report found Medicare may have overpaid Medicare
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TeleOccupational Therapy reduces hospital readmissions
(Source – news.va.gov) TeleOccupational Therapy saves Veterans time and improves care An older Veteran with cardiac issues was hospitalized after
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CMS Medicare fines keep coming: 5 recent updates
(By: Jakob Emerson for Becker’s Hospital Review) CMS has issued dozens of fines against Medicare Advantage, Part D and special
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Crackdown on massive fraud in government programs
It has been estimated that taxpayers lost between $233 billion and $521 billion to fraudsters between 2018 and 2022, according
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What IRMAA actually does to your check
IRMAA (Income-Related Monthly Adjustment Amount) is a surcharge on Medicare Part B and Part D premiums for high-income beneficiaries. The
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Major insurers share prior authorization requirements for just 14% of services: Study
(By: Jakob Emerson for Becker’s Hospital Review) Across three major commercial insurers, only 14% of procedure codes that triggered a
Read MoreJune 1-5 is Medicare Fraud Prevention Week. Here’s How Americans Can Help Protect Themselves and Medicare
(Source – www.cms.gov) June 1 marked the start of Medicare Fraud Prevention Week. While this week shines a spotlight on
Read MoreCMS Requires More Restrictive Definition of Medical Frailty in New Medicaid Work Requirements Rule
(Author Jennifer Tolbert for The Kaiser Family Foundation published June 2, 2026) On June 1, 2026, the Centers for Medicare
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GLP-1s in Medicare and Medicaid: Access alone is not a care model
(Pankhuri Sharma, Humana for Becker’s Hospital Review) The clinical value of GLP-1 receptor agonists is now well established. Multiple trials
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Part B premium hike isn’t the only added cost seniors are dealing with in 2026
On November 14, 2025, the Centers for Medicare & Medicaid Services (CMS) announced the Part B premiums for 2026. The
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