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CMS announces actions addressing fraud

The Centers for Medicare & Medicaid Services Feb. 25 released a request for information on potential regulatory changes in a possible future proposed rule called Comprehensive Regulations to Uncover Suspicious Healthcare, or CRUSH.
Fraud, Medical Device Purchasing, Medicaid, Medicare
Public

Setting the Record Straight: Separating Fact from Fiction on Health Insurance Marketplace Fraud

It is imperative that policymakers understand that Paragon developed their allegations of large-scale “fraud” in health care using inaccurate data, dubious assumptions, and an apparent lack of understanding of how health insurance actually works.
Marketplace Issues/Stability, Setting the Record Straight, Fraud

DOJ, HHS announce working group to investigate health care fraud

The Departments of Justice and Health and Human Services today announced the cr
Fraud, Medicare Advantage

CMS warns of phishing fax scheme; AHA monitoring other reported social engineering schemes 

The Centers for Medicare & Medicaid Services today announced it has identified a fraud scheme targeting Medicare providers and suppliers.
Cybersecurity, Medicare, Fraud