Workload data used by CMS to oversee Zone Program Integrity Contractors has been inaccurate and inconsistent, and this has led to several ZPIC reporting errors and inconsistencies within information ...

While providers aren’t required to follow OIG recommendations, a compliance program based on their guidance can spare ...

CMS, the Office of Inspector General and other governmental agencies have ramped up their stance on healthcare fraud and abuse, estimating that roughly $4.1 billion in taxpayer money was recovered in ...

The Centers for Medicare & Medicaid Services (CMS) on Sept. 20, 2024, released the Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate ...

The Government Accountability Office has issued a report recommending CMS more clearly communicate its goals for the Medicare Integrity Program and improve the reliability of data used to calculate ...