Industry Notes: CMS Gets Tough On Cost Reporting

Article Overview

This article summarizes several Medicare and Medicaid policy and enforcement developments. It highlights CMS attention to Medicare cost report completeness and the broader importance of those data, then notes OIG findings about how administrative law judge hearings are conducted. It also briefly reports on a Florida Medicaid fraud case involving durable medical equipment and home health-related billing allegations. The piece is relevant to providers, billing and compliance staff, and healthcare administrators who track government audit, appeals, and fraud-enforcement activity.