Several lawmakers are pressing the Centers for Medicare & Medicaid Services (CMS) to expand Medicare’s coverage of substance abuse disorder to address key gaps exacerbating the addiction crisis. Rep.

Medicare abuse happens when unnecessary costs are billed to the Medicare program. Medicare abuse might not be intentional, but it still increases program costs. Some healthcare providers may order ...

Medicare abuse involves improper billing or unnecessary services. Medicare fraud involves falsifying claims. The main difference is intent, abuse is often done without intent. Medicare abuse and fraud ...

The Centers for Medicare & Medicaid Services has pledged to issue new guidance on resident abuse after a federal watchdog found the agency was failing to use claims data to spot potential cases of ...