The U.S. Department of Justice has filed a lawsuit accusing several of the nation’s largest health insurers and insurance brokers of orchestrating a multi-year kickback scheme that prioritized profits ...

Medicare fraud involves falsifying claims. The main difference is intent ... Medicare fraud can take many forms, such as knowingly billing for excess services, including canceled appointments.

Sen. Chuck Grassley during his town hall claims that fifty percent of seniors want privatized Medicare, which instantly sparks a loud and negative reaction from the attendees. Surprising sales ...

Medicare usually pays healthcare professionals ... To do so, they can: Request a claim form from the insurance company. Complete the form and attach copies of itemized bills from the service ...

Catch up on the top industries and stocks that were impacted, or were predicted to be impacted, by the comments, actions and policies of President Donald Trump with this daily recap compiled by ...

Get Instant Summarized Text (Gist) Medicare Advantage (MA) plans received an estimated $33 billion in additional revenue in 2021 due to coding differences compared to Traditional Medicare (TM ...

While the share of Americans enrolled in Medicare Advantage plans has grown nationwide, the program's popularity still varies geographically. Today, the share of Medicare beneficiaries enrolled in ...

On March 26, 2025, the U.S. Department of Justice (DOJ) announced that it settled a False Claims Act (FCA ... codes to increase payments from the Medicare Advantage program.

And, after the Trump administration green-lighted telehealth for Medicare recipients in 2020, many private insurers did the same. Overall telehealth claims rose from fewer than 1% of all ...

“Today’s result sends a clear message to the Medicare Advantage community that the United States will zealously pursue appropriate action against those who knowingly submit false claims for taxpayer ...

Although Medicare Advantage (MA) plans provide coverage to >50% of Medicare beneficiaries, it is unclear whether MA claims can be used similarly to Medicare Fee-For-Service (FFS) claims for clinical ...