Tim O’Malley, who did a deep dive and then wrote a report for Gov. Tim Walz on program integrity, has called for culture ...

As Medicaid programs continue to grow in size, cost, and complexity, program integrity can no longer function as a standalone role—it must be built into the fabric of how programs operate daily.

As the fog of the COVID-19 war continues to dissipate, it has become increasingly clear that hundreds of billions of dollars were needlessly added to the national debt due to the government’s ...

CMS is gathering information for and seeking industry feedback on a project that would consolidate the audit and investigation services for Medicare and Medicaid integrity functions, creating new ...

The first formal AI governance body in the Healthcare Eligibility Data space — made up of industry compliance and data experts, along with leading healthcare provider and payer organizations.

Amid mounting political pressure to address widespread government fraud, Minnesota Gov. Tim Walz on Friday announced the appointment of an official tasked with creating fraud prevention measures ...

Workload data used by CMS to oversee Zone Program Integrity Contractors has been inaccurate and inconsistent, and this has led to several ZPIC reporting errors and inconsistencies within information ...

Boy, do you have your work cut out for you! Gov. Walz appointed you last month to the brand-new position of director of program integrity to strengthen fraud prevention. An agricultural metaphor may ...