If you see something, say something, e.g. doctors’ or companies’ names you’ve never heard of, equipment you didn’t order, ...

Amid the Medicare open-enrollment period from October 15 to December 7, older Americans face an escalating wave of scam calls targeting their benefits. Approximately 62.8 million Medicare ...

False claims can also damage a person’s medical record. Fake diagnoses, incorrect allergy information, or fraudulent hospice ...

HARRISBURG, Pa. - Pennsylvania Attorney General Dave Sunday is warning seniors and their families across the Commonwealth about an ongoing Medicare scam. According to the AG's office, the scam takes ...

Learn about Medicare and Medicaid fraud, key examples, and how these unethical practices affect taxpayers and healthcare programs, costing billions annually.

Bulletin: ...WIND ADVISORY REMAINS IN EFFECT FROM 1 AM FRIDAY TO 1 AM EST SATURDAY... * WHAT...Southwest winds 20 to 30 mph with gusts up to 45 mph expected Thursday ...

A CMS pilot program will require providers in six states to submit select Medicare services for AI-enabled prior authorization or post-service medical review.

ROCHESTER, N.Y. – Medicare open enrollment begins next week, and recipients in the area are receiving letters indicating they no longer have Medicare Advantage. Insurance companies are dropping or ...

If you have a bacterial infection, you need to take antibiotics. If health care providers need to determine that you have a broken bone, you’ll need to have an X-ray. Those are some examples of ...

The HIPAA Eligibility Transaction System (HETS) allows healthcare teams real-time access to a person’s Medicare eligibility, including coverage, out-of-pocket costs, and benefit limits. When doctors ...

If you want to help your aging parents with their medical decisions or assist with their Medicare enrollment, you’ll need to request authorization from the government insurance program. If your ...