The Centers for Medicare & Medicaid Services Jan. 29 issued a final rule regarding states non-uniform or non-broad-based ...

Reporting healthcare fraud is important. When healthcare entities provide medically unnecessary services or improperly bill ...

A: Critical Element Pathways are tools used by survey teams to either interview or observe residents for a variety of topics they consider to be critical to the care provided. Pathways were first used ...

Whistleblowers play a critical role in uncovering healthcare fraud in the private sector. This applies across the board—from fraudulent billings for patient services to fraud in federally funded ...