Four of the six major programs run by the Centers for Medicare and Medicaid Services saw their improper payment rate increase in fiscal 2025.
Medicare Part C, Medicare Part D and Medicaid all saw upticks in how much money went out the door that shouldn’t have.
While not all improper payments are considered fraud, CMS is planning an all-out effort to reign in fraud specifically and improper payments more broadly.
CMS says it’s taking on this systemic challenge through both technology and regulatory reforms.
On the regulatory side, CMS released a request for information on Feb. 27 asking for feedback from the public on “potential regulatory changes that might be included in a potential future proposed rule, as well as other programmatic changes that could be implemented to make CMS more effective in crushing fraud to protect taxpayer dollars and the Americans we serve.”
CMS laid out…
Inspect the sender’s actual email address—not just the display name—for subtle misspellings like “info@paypa1.com” or “support@nmb-bank.co” which indicate a spoofing attempt.