As CBS 13 has reported, the integrity unit has been linked to two cases of potential wrongdoing in the span of just two ...

Amid mounting political pressure to address widespread government fraud, Minnesota Gov. Tim Walz on Friday announced the appointment of an official tasked with creating fraud prevention measures ...

In a surprising announcement, Minnesota's Director of Program Integrity Tim O'Malley told House members he would be leaving his role.

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 ...

As the fog of the COVID-19 war continues to dissipate, it has become increasingly clear that hundreds of billions of dollars were needlessly added to the national debt due to the government’s ...

Program Integrity Director Tim O’Malley unveiled recommendations for combating fraud in state programs on Monday morning. O’Malley was appointed in December and is working with third-party experts at ...

Add Yahoo as a preferred source to see more of our stories on Google. Mar. 18—WILKES-BARRE — Rep. Brenda Pugh on Tuesday said widespread unemployment fraud and Pennsylvania's ongoing failure to meet ...

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 ...

Agentic AI can connect historical behavior, evolving utilization signals and payment integrity requirements into a single control framework that adapts over time.

As Congress continues to debate next steps on the Affordable Care Act's (ACA's) enhanced subsidies, insurers are urging legislators to consider an extension with additional program integrity measures ...

New York is about to get the Oz treatment. Medicaid czar Dr. Mehmet Oz is turning up the heat on Gov. Kathy Hochul, launching an investigation into the state’s massive $124 billion Medicaid program — ...