In-depth analysis and peer practice for 10,000+ risk and compliance leaders. HQP benchmarking, LPEC certification, and the ...

The Centers for Medicare & Medicaid Services (CMS) has announced a nationwide, six-month Medicare enrollment moratoria for new hospices and ...

When hospitals overcharge insurers for drugs they bought at deep 340B discounts, taxpayers, employers, and insured patients ...

The mission of Research Integrity & Security and the IRB is to verify and promote the continual ethical conduct of research. The Human Research Protection Program (HRPP) has a quality improvement plan ...

CMS is gathering information for and seeking industry feedback on a project that would consolidate the audit and investigation services for Medicare and Medicaid integrity functions, creating new ...

With post-pandemic Medicaid enrollments on the decline and expected to fall further, revenue cycle leaders warn that ...

This year, Tufts’ Center for Awareness, Resources and Education is rolling out the CARE Community Integrity Program, an educational initiative geared toward helping students who have caused, or are ...

The MarketWatch News Department was not involved in the creation of this content. The first formal AI governance body in the Healthcare Eligibility Data space -- made up of industry compliance and ...

Boy, do you have your work cut out for you! Gov. Walz appointed you last month to the brand-new position of director of program integrity to strengthen fraud prevention. An agricultural metaphor may ...

All 12 members of the Fulbright program’s board, tasked with administering the prestigious scholarship to Americans and foreigners to continue their educational studies, resigned on Wednesday night.

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 ...