On April 23, 2026, Dr. Mehmet Oz, Administrator of the Centers for Medicare & Medicaid Services (“CMS”), sent letters to all ...
The latest crackdown on Medicaid fraud directs states to submit a plan within 30 days on a provider revalidation strategy.
CMS is requiring all 50 states to audit Medicaid providers and submit detailed plans to the agency by May 23, with hospital leaders eager to understand both the scope and the limits of what’s being ...
Assisted living operators that provide Medicaid home- and community-based services to their residents could be front and ...
Dr. Mehmet Oz announced last week that all 50 states will be required to explain their plans to revalidate some of their Medicaid providers.
In anticipation of changes to Medicaid coming in 2027 and beyond, states are already exploring ways to tighten eligibility, ...
Dr. Mehmet Oz directs all 50 governors to root out Medicaid fraud, giving states 10 days to identify and remove noncompliant ...
Provider fraud in Medicare and Medicaid is a persistent, complex, and costly challenge, threatening the integrity of the nation’s most vital healthcare programs. Fraudulent activities, ranging from ...
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Smooth moves for provider onboarding and compliance
In healthcare, effective provider onboarding and credentialing are essential for compliance, patient safety, and operational efficiency. From meeting Medicaid enrollment rules to leveraging AI-driven ...
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