WASHINGTON, DC – October 7, 2026 (STL.News) America – Medicare – Federal investigators are catching health care fraudsters, recovering billions of dollars, removing questionable providers from federal programs, and increasingly using sophisticated data analytics to identify suspicious medical billing. Those efforts deserve recognition. But their success raises a larger question: How much improper or fraudulent Medicare and Medicaid billing remains undiscovered? There is no reliable number. That uncertainty—not an assumption that every billing error represents fraud—is precisely why the United States should consider dramatically expanding independent auditing of Medicare and Medicaid claims. In fiscal 2025, the Centers for Medicare
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