CMS bars 11 companies over $3.4B in Medicare Advantage fraud
Plus: California failed to return $99M in identified Medicaid overpayments. The day's rules, money, and enforcement, sourced and tiered below.
Plus: California failed to return $99M in identified Medicaid overpayments. The day's rules, money, and enforcement, sourced and tiered below.
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Wednesday, September 9, 2026 |
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CMS bars 11 companies over $3.4B in Medicare Advantage fraud
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Plus: California failed to return $99M in identified Medicaid overpayments. The day's rules, money, and enforcement, sourced and tiered below.
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Record
The government just barred 11 medical equipment companies from billing Medicare Advantage after finding more than $3.4 billion in suspected fraud, including bills for patients who were already dead.
Four suppliers had already been revoked from traditional Medicare and shifted to Medicare Advantage instead. A Florida company billed $18.4M for catheters; a Texas company billed $5.5M for orthotics.
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Record
A federal watchdog says California failed to return more than $99 million in Medicaid overpayments that its own state fraud investigators had already identified and closed.
The audit covered 26 Medicaid Fraud Control Unit cases from FY2023. OIG found $231.2M in overpayments California should have reported, including one $113.3M batch of paid-claim cases.
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