Medicare Overpayment

When a company participates in federal health care programs like Medicare it agrees to follow detailed billing, coding and documentation rules. A finding of overpayment and request for repayment can devastate any health care organization. In a recent example, the...

New York healthcare providers face increasing scrutiny over Medicare billing practices. Understanding why overpayment allegations arise is the first step toward protecting your practice or facility from costly audits and potential legal consequences. While overpayment...

The Government Accountability Office (GAO) recently announced the federal government overpaid Medicare claims by almost $57 billion in 2025. This marks a significant uptick from reports of fraudulent payments in previous years which were closer to $12 billion.  The...

The government is moving forward with allegations that one of the largest nursing home facilities in New York has received over $30 million in Medicare overpayments. A federal watchdog group uncovered the issue and reviews by the Office of the Inspector General (OIG)...

The Centers for Medicare & Medicaid Services (CMS) recently announced a proposed rule for the 2026 Medicare Physician Fee Schedule. It introduces significant changes aimed at modernizing Medicare, improving patient care, and reducing costs. These changes will...

President Donald Trump and his administration have been clear on their intention to crackdown on Medicare overpayments. Whether considering new legislation to help provide additional tools to go after those it believes are seeking fraudulent payments or utilizing...

Every system, no matter how well-intentioned or structured, has its inherent flaws, and Medicare is no exception. Over the years, the complexities and vulnerabilities within the Medicare system have led to instances of fraud, waste, and abuse, prompting the government...

For health care providers in New York, navigating the complexities of Medicare billing is a critical part of operations. Unfortunately, this process is not free of errors, and Medicare overpayments can occur, potentially leading to significant legal and financial...

A Medicare overpayment notification indicates that the government believes it overpaid the practice for services provided. This situation not only impacts financial standing but also compliance with federal regulations, making it important for healthcare providers to...

Allegations by federal or state authorities that a healthcare organization has received a Medicare overpayment can lead to a challenging period marked by intense scrutiny and potential legal consequences. It is imperative to approach this situation with a strategic...