Crushing Fraud, Waste, & Abuse
CMS is crushing fraud, waste, and abuse to protect Americans.
Announcement: CMS-State Tax Fraud Partnership
On November 25th, 2025, Dr. Oz issued a letter to all 50 states and Washington D.C. encouraging them to partner with CMS to take action against healthcare providers and suppliers who commit healthcare and tax fraud. Healthcare providers who bill fraudulent insurance claims often fail to report the associated income on their tax returns, creating a dual-layered crime that drains both federal and state tax systems. This initiative will strengthen state-federal enforcement against fraudulent Medicare providers and suppliers.
A copy of the letter that was sent to states is available here.
Upcoming Events
On October 20th, CMS selected and notified 10 teams as finalists who advanced to Phase 2 of the competition. Phase 2 began on October 31st and will conclude on December 1st. CMS plans to publicly announce the winner of the Chili Cook-Off Competition on December 15th.
See here for more information about the challenge, as well as the 10 teams selected as finalists.
Fast Facts
Learn more about program integrity risks to CMS programs and the steps CMS is taking to crush fraud.
The FDOC
Hospice Fraud
RADV Audits
Dual Enrollment
Hot Spots
See below for details on the biggest risks to CMS programs.
Durable Medical Equipment Fraud
Some DMEPOS suppliers have billed Medicare for items that were never provided or have submitted bills without the beneficiary’s knowledge or consent. Some providers also accepted kickbacks from suppliers to bill DMEPOS when the item was not medically necessary.
Inappropriate DMEPOS billing could affect available benefits, increase out-of-pocket costs, or indicate stolen health information.
Coming Soon
Page Last Modified:
12/02/2025 08:27 AM