On Nov. 19, 2025, the DOJ sentenced a Missouri Man to 10 years in prison for a $174 million health care fraud conspiracy.

Offshore subcontracting means outsourcing administrative or data tasks to entities outside the United States. Where and how is it allowed?

The error is related to the cumulative supply allowances embedded in the reimbursement rate.

Medicare Advantage has increasingly been criticized for waste, fraud, and abuse. A key issue lies in how the government reimburses these private insurers.

DME suppliers must not only satisfy traditional Medicare FFS requirements, but they must also satisfy Medicare Advantage Plans (MAPs).

Unlike large hospital systems that can better absorb administrative overhead, independent providers operate on razor-thin margins.