Category: Insurance

Medicare Fraud And Abuse Updates Billers Need To Know

Stay ahead in 2025 with the latest Medicare fraud and abuse updates every medical biller needs to know. The Centers for Medicare & Medicaid Services (CMS) has introduced new guidelines that limit state agencies’ sanctioning powers, enhance due process protections for beneficiaries, and emphasize fairness in fraud investigations. Key changes include restricted penalties, mandatory advance notice, and thorough investigation requirements. For medical billers, these updates mean adapting to a more beneficiary-friendly regulatory environment while ensuring compliance. Learn how these shifts impact your practice and discover actionable tips to stay compliant in a free consultation with our experts.