ALJ

War and Medicare Enrollment

Combat is often described as hours of boredom intermixed with moments of sheer terror.  I fear that that metaphor is increasingly applicable to Medicare enrollment. Few things in life are more boring than the Centers for Medicare & Medicaid Services (CMS) enrollment applications. There is simply

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Featured Article

Where is the OCR?

The articles describe a significant 2026 dispute over the misuse of health information exchanged by asserting a treatment purpose through Carequality. (Raths) The core allegation

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Appeals

The OIG, ABN, IMM, and DND in the News

Let’s start with a recent (U.S. Department of Health and Human Services Office of Inspector General) OIG audit of a Medicare Advantage plan. Now these

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