You must complete the Medicare Redetermination Request form if you’re appealing a claim denial by Medicare for the first time. This leads to the first phase of the Medicare appeals process.

My husband recently retired from his job, and because I am over 65, I need to sign up for Medicare. I went to the local ...

Dear Toni,My husband recently retired from his job, and because I am over 65, I need to sign up for Medicare. I went to the local Social Security office with ...

The Justice Department and HHS have launched a joint False Claims Act Working Group to intensify efforts at combatting fraud and abuse in the federal healthcare system. The group builds on a ...

The U.S. Justice Department announced the results of its National Health Care Fraud Takedown, resulting in criminal charges ...

Four Pensacola women were indicted in nation's largest healthcare takedown that involves 324 defendants and $245 million in ...

A Northeast Ohio physician pleaded guilty Thursday to federal charges in a Medicare fraud case. The case involved fake orders for medical equipment, which he approved without ever examining patients, ...

Vincent Thayer of San Jose and Sevendik Huseynov of Sunnyvale were allegedly involved in more than $205 million in fraudulent claims, among 324 defendants whose fraudulent and illegal schemes resulted ...

A new tax break aimed at seniors may lighten the load on retirees’ Social Security income, but it’s not as sweeping or ...

The Justice Department subpoenaed providers over alleged “healthcare fraud” tied to gender-affirming care for minors.