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savingadvice.com /3 weeks ago

CMS Federal System Alert: How a Recent Medicare Portal Issue Exposed Some Provider Identification Data in 2026

A federal system designed to help seniors find doctors is now raising serious questions about data security. In 2026, a Medicare portal managed by the...

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ccf.georgetown.edu /2 weeks ago

CMS Weaponizes Fraud Against Medicaid in California

For the second time in the 60-year history of the Medicaid program, a CMS deferral of federal matching funds has been announced by the Vice President of the United States at a Whit...

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aha.org /4 weeks ago

CMS launches clinical laboratory fee schedule reporting module for data collection

The Centers for Medicare &amp; Medicaid Services has begun collecting private payor rate data through its Fee-for-Service Data Collection System Clinical Lab Fee Schedule Modul...

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aha.org /2 weeks ago

CMS releases details to download upcoming CAH payment patterns report

The Centers for Medicare &amp; Medicaid Services has released details on downloading its upcoming fiscal year 2025 Program for Evaluating Payment Patterns Electronic Report, or...

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jdsupra.com /1 month ago

CMS Directs States to Audit and Revalidate Medicaid Providers

The federal government is escalating its crackdown on Medicaid fraud and every state has been placed on notice. On April 21, Centers for Medicare & Medicaid Services (CMS) A...

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fiercehealthcare.com /2 weeks ago

CMS to withhold $1.3B in Medicaid funds from California, puts state officials on notice about fraud

Just hours after the Trump administration announced action against fraud in the hospice and home health spaces, Vice President JD Vance put state regulators on notice that the feds...

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ccf.georgetown.edu /1 month ago

CMS Weaponizes Fraud Against Medicaid in Minnesota: The District Court Rules

On April 6, U.S. District Court Judge Eric Tostrud issued a decision in Minnesota v. Oz. The case was triggered by CMS’s deferral of $259 million in federal matching funds from th...

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aha.org /3 weeks ago

CMS announces electronic prior authorization initiative

The Centers for Medicare &amp; Medicaid Services yesterday announced a new electronic prior authorization initiative as part of its Health Technology Ecosystem. CMS Administrat...

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savingadvice.com /3 weeks ago

Medicare Fraud Alert: The ‘New Number’ Phone Scam Targeting Seniors After Recent CMS Data-Breach Headlines

Imagine a retiree named Linda who hears about a Medicare data breach on the news. A few days later, she receives a call claiming her...

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aha.org /1 month ago

CMS releases proposed rule establishing electronic standards for drug prior authorizations

The Centers for Medicare &amp; Medicaid Services April 10 released a proposed rule that would establish electronic standards for drug prior authorizations. Building on a 2024 f...

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aha.org /1 month ago

CMS highlights new digital health ecosystem tools

The Centers for Medicare &amp; Medicaid Services April 9 held a demonstration showcasing the first series of products intended to push the health care industry toward a more co...

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aha.org /1 month ago

CMS announces data release on health care utilization and prices

The Centers for Medicare &amp; Medicaid Services April 2 announced the release of new data on health care utilization and prices at the provider and service level in open, mach...

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aha.org /1 week ago

CMS issues proposed rule on Medicaid supplemental payments

The Centers for Medicare &amp; Medicaid Services May 20 released a proposed rule&nbsp;that would&nbsp;modify&nbsp;policies governing Medicaid state-directed payment...

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knoxviews.com /4 weeks ago

Medicare provider data breach

The ... administration inadvertently exposed the Social Security numbers of health care providers in a database powering a new Medicare por... read more...

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aha.org /1 month ago

CMS issues update on PAMA data reporting webinar

The Centers for Medicare &amp; Medicaid Services issued an updated registration link for its&nbsp;webinar&nbsp;April 16 at 3 p.m. ET on Medicare Clinical Laboratory Fee...

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wishtv.com /2 weeks ago

Medicare halts new provider enrollment amid fraud concerns

(CNN) — The Centers for Medicare and Medicaid Services announced Wednesday that it is placing a six-month moratorium on new enrollment of health providers in Medicare — its latest...

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wishtv.com /2 weeks ago

Medicare halts new provider enrollment amid fraud concerns

(CNN) — The Centers for Medicare and Medicaid Services announced Wednesday that it is placing a six-month moratorium on new enrollment of health providers in Medicare — its latest...

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aha.org /1 month ago

CMS, FDA announce pathway to expedite access to certain medical devices for Medicare beneficiaries

The Centers for Medicare &amp; Medicaid Services and the Food and Drug Administration April 23 announced a new pathway to expedite access to certain FDA-designated Class II and...

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natlawreview.com /2 weeks ago

Federal Scrutiny of State Medicaid Programs and Medicaid Providers Intensifies

Key Takeaways CMS and congressional leaders are increasing oversight of state Medicaid programs through off-cycle revalidation demands, fraud investigations and threats to defer f...

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aha.org /1 month ago

CMS finalizes policy and technical changes to Medicare, MA, Part D for CY 2027

The Centers for Medicare &amp; Medicaid Services April 2 released a final rule on policy and technical changes to Medicare Advantage, the Medicare Prescription Drug Benefit Pro...

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natlawreview.com /2 weeks ago

CMS Announces Nationwide Moratoria on Medicare Enrollment of Home Health Agencies

As part of an effort to crack down on publicized fraud, the Centers for Medicare and Medicaid Services (CMS) announced on May 13, 2026, a nationwide moratoria on new Medicare enrol...

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ccf.georgetown.edu /2 weeks ago

CMS Weaponizes Fraud Against Medicaid in Minnesota: Is the Fiscal Assault Headed for the Off-Ramp?

The fiscal assault on Minnesota’s Medicaid program appears to be headed for the off-ramps. Led by Dr. Mehmet Oz, the CMS Administrator, with the full-throated support of Vice Presi...

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savingadvice.com /3 weeks ago

The 1-800-MEDICARE Warning: Why Seniors Are Being Urged to Change Their ‘Secret Question’ After Recent Security Notices

If you’re like most seniors, you probably don’t think twice about your Medicare account security—until something goes wrong. Recently, officials tied to the Centers for...

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insurancebusinessmag.com /1 month ago

CMS grants Elevance more time on Medicare data issues

Enforcement action delayed – for now

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