Unified Program Integrity Contractors (UPICs) operate within the universe of Medicare and Medicaid program integrity ...
The US Department of Health and Human Services Office of Inspector General (OIG) released its new Industry Compliance Program Guidance (ICPG) on February 3, 2026. The ICPG is a comprehensive voluntary ...
The US Food and Drug Administration (FDA) and the Centers for Medicare and Medicaid Services (CMS) have proposed a parallel review program to expedite certain Class II and Class III breakthrough ...
We collaborate with the world's leading lawyers to deliver news tailored for you. Sign Up for any (or all) of our 25+ Newsletters. Some states have laws and ethical rules regarding solicitation and ...
The Centers for Medicare and Medicaid Services (CMS) is increasingly experimenting with prior authorization in traditional Medicare. In 2016, CMS began using pre-claim review, a prior ...
Angela Palo is COO of Pinnacle Financial Services, a leading National Medicare Brokerage, and member of the NABIP Medicare FMO Council. Medicare agencies and brokers juggle lead pipelines, sales ...
A new Medicare pilot program using artificial intelligence to review claims is launching in six states, including Arizona. Critics, including some members of Congress, worry the program will lead to ...
Participation in Medicare ordinarily requires physicians and practitioners to submit claims on behalf of beneficiaries and comply with statutory charge limits. However, Section 1802 of the Social ...
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