With a considerable burden of risk for erroneous payments shifted from HHS to state Medicaid programs, experts anticipate increased scrutiny of claims submissions.

“Operation Gold Rush” refers to a large 2025 DOJ investigation targeting a transnational criminal organization (TCO) behind a multi-billion dollar Medicare fraud scheme.

The final installment of Bachenheimer and Baird's four-part competitive bidding summary covers furnishing of items, disclosure of subcontracting arrangements, breach of contract, and more.

What competitive bidding program rules have NOT changed?

In part two of the competitive bidding summary, Bachenheimer and Baird give additional details on the new rules for competitive bidding.

What are the seven product categories for the next round of the competitive bidding program? Bachenheimer and Baird give the details on this and more.