2+ day, 19+ hour ago   (187+ words) If you’re unsure, call the physician who supposedly ordered the test and ask whether the office has a record of ordering it for you. If you still suspect fraud, Medicare says you can report it through 1-800-MEDICARE (1-800-633-4227) or its online…...

2+ day, 20+ hour ago   (566+ words) Editor’s Note: This article concerns Affordable Care Act Marketplace coverage, not Medicare plan enrollment. That’s significant because CMS says Enhanced Direct Enrollment platforms accounted for approximately 76% of active plan selections during 2026 Open Enrollment. The additional protection is intended to make…...

2+ day, 20+ hour ago   (192+ words) According to CMS, those systems look for abnormal combinations involving testing, results, billing, documentation, and relationships that could indicate fraud, waste, or abuse. The technology can help flag high-risk claims for additional review and potentially allow claims to be held,…...

4+ day, 18+ hour ago   (199+ words) The scheme also involved marketing operations targeting thousands of Medicare beneficiaries, according to the Justice Department’s earlier announcement of the case. Prosecutors alleged that marketing companies used deceptive and aggressive telemarketing to persuade beneficiaries to accept medical equipment they didn’t…...

6+ day, 1+ hour ago   (146+ words) Have you ever found a medical service, test, or piece of equipment on a Medicare statement that you didn’t recognize? Tell us what happened in the comments. 5 Signs That FTC Refund Text or Email Is Real — And 4 Signs It’s a…...

1+ week, 5+ day ago   (361+ words) You should also ask: “Was the prescription actually run through my insurance?” Before assuming your plan changed, ask the pharmacy to confirm that the prescription was processed through the correct insurance and that the plan information on file is current....

2+ week, 5+ day ago   (822+ words) The U.S. Food and Drug Administration has finalized guidance explaining how it determines whether prescription drug products are therapeutically equivalent—an evaluation that can help pharmacists, prescribers and state agencies determine when an approved generic can be substituted for another version…...

2+ week, 6+ day ago   (153+ words) If you unexpectedly spent 30 days in the hospital tomorrow, would someone you trust know how to keep your financial life running? Share your thoughts in the comments. Think Social Security Guarantees a Minimum Monthly Check? Here’s How It Really Works…...

3+ week, 1+ day ago   (896+ words) Federal prosecutors have charged four Bronx men in an alleged racketeering operation that they say generated at least $12 million in fraudulent Medicaid claims by billing for transportation services that were never actually provided. The Justice Department announced August 20 that a…...

3+ week, 4+ day ago   (500+ words) The biggest misconception to clear up is that Costco itself is not suddenly replacing UnitedHealthcare, Humana, or other insurers as a Medicare Advantage company. SCAN Health Plan is the insurance partner and is an HMO with a Medicare contract, while…...