Program Oversight & Compliance
Expert articles and analysis related to program oversight & compliance.
AI Summary â Last 7 Days
Over the past week, program oversight and compliance in value-based care have taken center stage with CMS greenlighting a hemp product use pilot in Medicare under the Substance Access Beneficiary Engagement Incentive, signaling an openness to innovative approaches in beneficiary engagement and substance use interventions (Foley & Lardner). Simultaneously, new 2027 Medicare Advantage capitation rates and payment policies were announced, amid active litigation from health systems over payer compliance and ongoing scrutiny of suspect billing practices by ACOsâan environment that underscores rising tensions between payers, providers, and federal oversight in the Trump administrationâs pursuit of heightened program integrity and payment accuracy.
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Florida Man Pleads Guilty in Health Care Fraud and Kickback Scheme Involving âFoot Bathsâ - Office of Inspector General (.gov)
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Radiology Question for the Week of April 13, 2026
What is the correct coding approach when iliac atherectomy and angioplasty and/or stent placement are performed in the same leg through the same access site?
General Question for the Week of April 13, 2026
When is modifier 25 applicable?