DHHS released results of a third audit covering 2021 through 2022. State auditors said Gateway overbilled MaineCare by more ...

As health plans attempt to measure the acuity of new patients through the Affordable Care Act’s healthcare marketplace exchange, hospital audit teams will see a huge influx of commercial risk ...

Weeks before one of North Carolina's state-supported behavioral health management agencies merged with another one in eastern North Carolina, there was a flurry of questionable financial activity that ...

The number of audit requests providers must deal with just keeps multiplying with each passing day. And audits – regardless of whether they are commercial, internal, governmental or performance-based ...

Despite revenue growth, healthcare payers have faced increasing margin pressures over the past year as healthcare costs continue to climb. Introducing new efficiencies into key operations such as ...

This is an archived article and the information in the article may be outdated. Please look at the time stamp on the story to see when it was last updated. SPRINGFIELD, Ill. (WTVO) — An investigation ...

Orange County officials are taking control of services at the county’s signature mental health campus, a move that pushes out a nonprofit organization paid tens of millions of dollars in public funds ...

ALBANY, N.Y. – The New York State Health Department has been slow to inspect violations at adult care facilities, according to a recent audit by the state comptroller’s office. The audit reviewed the ...

A federal audit has found the health records of millions of HealthCare.gov users have been stored in a computer system with basic security flaws, according to an Associated Press report. MIDAS, the ...