CMS has proposed a significant expansion of its Medicare provider enrollment and program-integrity authorities through the Calendar Year 2027 ...

Medicaid program integrity has become one of the most urgent challenges facing state agencies. CMS reported $37.39 billion in improper Medicaid payments in 2025 and recently identified 2.8 million ...

The Trump Administration continues its focus on rooting out fraud, waste, and abuse in federalprograms,includingMedicaid. In March 2026, President Trump issued an Executive Order establishing the Task ...

Senate Bill 315 —with an effective date of October 6, 2026—significantly expands oversight, enforcement authority, and ...

The Trump administration and CMS have blocked or recovered over $1.6 billion in potentially improper Medicare lab payments since President Trump’s return, using ai-assisted fraud detection and ...

Codoxo, the leading provider of AI and generative AI-powered healthcare payment integrity solutions, announced today that Derik Ciccarelli, the company's Director of Fraud Scope Operations, will ...

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