Updated

Updated · Fox News · Jul 8

Trump Administration Denies 96% of Suspicious Medicare Claims as Transplant Billing Jumps 7,100%

Updated

Updated · Fox News · Jul 8

Trump Administration Denies 96% of Suspicious Medicare Claims as Transplant Billing Jumps 7,100%

1 articles · Updated · Fox News · Jul 8

$14.4 billion in Medicare tissue and organ transplant claims were filed in 2025, up from $200 million in 2019, prompting CMS to deny 96% of suspicious claims submitted since March.
4,200 allograft claims totaling $224 million were flagged through May, while CMS said it had stopped nearly $220 million in fraudulent skin-substitute claims.
102 Durable Medical Equipment suppliers had payments suspended and 725 more lost billing privileges after investigators found claims for unnecessary, upcoded or undelivered equipment.
Those targeted DME suppliers accounted for 8.6% of all Medicare-funded DME in 2025, underscoring the scale of the billing irregularities the task force says it uncovered.
The White House anti-fraud task force, created by Trump in May and led by Vice President JD Vance, has tied the latest actions to a broader push that officials say has already recovered billions.

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A 7,100% surge in one Medicare claim was stopped. What other massive schemes are still going undetected?

With billions in fraud recovered, will taxpayers see lower premiums or is the money already gone?

As AI flags suspicious claims, how can patients ensure their legitimate medical care isn't wrongly denied?

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