When the Auditor Is an Algorithm: Challenging HHS's AERO Initiative Under the Administrative Procedure Act

Willy Wonka and WISeR: Did You Get a Golden Ticket?

A ‘WISeR’ Move? House Panel Aims to Halt Funding for AI Prior Authorization Model

House Panel Moves to Block CMS’s AI-Driven Prior Authorization Program: What the WISeR Rider Could Mean for Providers

HHS Will Review Single Audits With AI Tool; 'It's Going to Be a Beast'

HHS’s AERO Initiative: What Hospitals Need to Do Right Now

Outlook 2026: Prior Authorization, AI Take Center Stage; CMS Kills Skin Substitute LCD

Trump AI Action Plan addresses slow-to-adopt sectors like healthcare

Medicare Appeals Backlog Is Anticipated With New HHS Enforcement Position, Job Cuts

Attys Talk AI Risks, Compliance At Health Law Conference

2025 Health Care Reimbursement Newsletter

Due Process: A Winning Weapon Against Extrapolated Overpayments

DOJ Indicts Former Executive at Medicare Advantage Organization, Signaling Continued Commitment to Individual Accountability in Corporate Criminal Investigations

Righting an Institutional Wrong: Redefining an Overpayment Through HHS-OIG’s Policy Shift on Zero-Paid Claims

False Claims Act Enforcement Involving Medicare Advantage Plans: Recent Cases and Current Trends

Statistical Sampling and Extrapolation

The Hunt is On: OIG Targets Telehealth Fraud During the COVID-19 Pandemic

Medicare Reimbursement Audit Checklist