CMS Fraud & Abuse Update: Areas of Focus in 2025
By KAITLYN DELBENE
Wachler & Associates, PC
This year has seen a continued emphasis within the federal administration on identifying fraud within the Medicare and Medicaid programs. Increasingly, audit findings, as well as other investigatory efforts by CMS and federal partners, are leading to healthcare fraud investigations. This trend has picked up steam in recent months, and CMS has made various announcements telegraphing its efforts to combat fraud and abuse in federal healthcare programs. Providers should be aware of enforcement trends and consider seeking a legal or compliance review of their documentation and billing practices.
In June 2025, the Justice Department and Centers for Medicare & Medicaid Services announced the results of an [Read More]