According to CMS, they should review Medicare Summary Notices and Explanation of Benefits for any unfamiliar charges or services, and report any suspicious activity to 1-800-MEDICARE (1-800-633-4227) ...

Home health agencies are facing a proposed 6.4% decrease in Medicare payments in 2026, compared to 2025.

The model will leverage AI and machine learning for prior authorization of services vulnerable to fraud or inappropriate use, CMS says.

Data gives insights but that information works best when it can be seen by a customer service representative during a patient interaction, says Casey Williams, senior VP of patient engagement at ...