P | Office of Evaluation and Inspections

Paperless Claims

• Encouraging Physicians to Use Paperless Claims (OEI-01-94-00230; 5/96)
• Electronic Data Interchange and Paperless Processing: Issues and Challenges (OEI-12-93-00080;3/94)

Back Top

Parenteral Nutrition

• SAMHSA's Administration of Grants (OEI-07-10-00220)
• Medicare Reimbursement for Parenteral Nutrition (OEI-03-96-00230; 7/97)
• Payments for Referral of Parenteral Nutrition Patients (OEI-12-92-00461; 7/93)
• Inappropriate Payments for Total Parenteral Nutrition (OEI-12-92-00460; 6/93)

Back Top

Paternity Establishment

• see also: Child Support Enforcement
• Paternity Establishment: Administrative and Judicial Methods (OEI-06-98-00050; 4/00)
• Paternity Establishment: Use of Voluntary Paternity Acknowledgments (OEI-06-98-00053; 4/00)
• Paternity Establishment: Notification of Rights And Responsibilities For Voluntary Paternity Acknowledgment (OEI-06-98-00051; 7/99)
• Paternity Establishment: Use of Alternative Sites for Voluntary Paternity Acknowledgment (OEI-06-98-00052;7/99)
• Paternity Establishment: State Use of Genetic Testing (OEI-06-98-00054; 9/99)
• Paternity Establishment: The Role of Vital Records Agencies (OEI-06-98-00055; 9/99)
• Paternity Establishment: Payment to Vital Records Agencies (OEI-06-98-00056; 7/99)
• In-Hospital Voluntary Paternity Acknowledgment Programs: State Agency and Birthing Hospital Implementation (OEI-06-95-00160; 8/97)
• In-Hospital Voluntary Paternity Acknowledgment Programs: Hospital Experiences in Sample States (OEI-06-95-00161; 8/97)
• In-Hospital Voluntary Paternity Acknowledgment Programs: Effective Practices in Hospital StaffTraining (OEI-06-95-00162; 8/97)
• In-Hospital Voluntary Paternity Acknowledgment Programs: Effective Practices in Parent Outreach (OEI-06-95-00163; 8/97)
• Effective Paternity Establishment Practices: Executive (OAI-06-89-00910; 2/90)
• Effective Paternity Establishment Practices: Technical (OEI-06-89-00911; 2/90)

Back Top

Patient Advance Directives

• Patient Advance Directives: Early Implementation Experience (OEI-06-91-01130; 8/93)
• Patient Advance Directives: Facility and Patient Responses (OEI-06-91-01131; 8/93)

Back Top

Patient Counseling Laws

• State Pharmacy Boards' Oversight of Patient Counseling Laws (OEI-01-97-00040; 8/97)

Back Top

Patient Denial Notices

• Medicare Patient Denial Notices (OAI-09-86-00051; 5/86)

Back Top

Peer Review Organizations (PROs)

• The Medicare Beneficiary Complaint Process: A Rusty Safety Valve (OEI-01-00-00060; 08/01)
• The Beneficiary Complaint Process of the Medicare Peer Review Organizations (OEI-01-93-00250;11/95)
• Medicare PROs' Role in Identifying and Responding to Poor Performers (OEI-01-93-00251; 12/95)
• The Peer Review Organizations and State Medical Boards: A Vital Link (OEI-01-92-00530; 4/93)
• The Sanction Referral Authority of Peer Review Organizations (OEI-01-92-00250; 4/93)
• Peer Review Organization Criteria for Carotid Endarterectomy (OEI-03-91-00150; 8/92)
• Educating Physicians: A Review of PRO's Efforts (OEI-01-89-00020; 2/92)
• FY 1985 National DRG Validation Study: Peer Review Organization Coding Accuracy (OEI-12-90-00660;8/90)
• The Utilization and Quality Control Peer Review Organization (PRO) Program: An Exploration ofProgram Effectiveness (OAI-01-88-00572; 2/89)
• The Utilization and Quality Control Peer Review Organization (PRO) Program: QualityReview Activities (OAI-01-88-00570; 8/88)
• The Utilization and Quality Control Peer Review Organization (PRO) Program: Sanction Activities (OAI-01-88-00571; 11/88)
• The Utilization and Quality Control Peer Review Organization (PRO) Program: Quality Review Activities (OAI-01-88-00580; 9/88)

Back Top

Performance Indicators

• 2019 Performance Data for the Senior Medicare Patrol Projects OEI-02-20-00150
• Hawaii Medicaid Fraud Control Unit: 2019 Onsite Review OEI-06-19-00110
• At A Glance: Medicaid Fraud Control Units Fiscal Year 2019 Annual Report OEI-09-20-00110
• Montana Medicaid Fraud Control Unit: 2019 Onsite Inspection OEI-12-19-00170
• Missouri Medicaid Fraud Control Unit: 2018 Onsite Inspection OEI-12-18-00490
• Utah Medicaid Fraud Control Unit: 2018 Onsite Review (OEI-09-18-00170)
• Idaho Medicaid Fraud Control Unit: 2018 Onsite Inspection (OEI-12-18-00320)
• Kansas Medicaid Fraud Control Unit: 2018 Onsite Inspection (OEI-12-18-00210)
• Nevada Medicaid Fraud Control Unit: 2018 Onsite Inspection (OEI-06-18-00190)
• 2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)
• New Hampshire Medicaid Fraud Control Unit: 2017 Onsite Review (OEI-09-17-00200)
• New York Medicaid Fraud Control Unit: 2017 Onsite Inspection (OEI-12-17-00340)
• New Jersey Medicaid Fraud Control Unit: 2017 Onsite Inspection (OEI-06-17-00520)
• Tennessee Medicaid Fraud Control Unit: 2017 Onsite Inspection (OEI-12-17-00230)
• 2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)
• 2016 Performance Data for the Senior Medicare Patrol Project (OEI-02-17-00220)
• Performance Data for the Senior Medicare Patrol Projects: June 2016 Performance Report (OEI-02-16-00190)
• Performance Data for the Senior Medicare Patrol Projects: July 2015 Performance Report (OEI-02-15-00100)
• Nebraska State Medicaid Fraud Control Unit: 2014 Onsite Review (OEI-07-14-00060)
• Performance Data for the Senior Medicare Patrol Projects: June 2014 Performance Report (OEI-02-14-00140)
• Minnesota State Medicaid Fraud Control Unit: 2013 Onsite Review (OEI-06-13-00200)
• Medicaid Fraud Control Units Fiscal Year 2013 Annual Report (OEI-06-13-00340)
• CMS Regularly Reviews Part C Reporting Requirements Data, But Its Followup and Use of the Data Are Limited (OEI-03-11-00720)
• Medicare Administrative Contractors' Performance (OEI-03-11-00740)
• Performance Data for the Senior Medicare Patrol Projects: May 2010 Performance Report (OEI-02-10-00100)
• Performance Data for the Senior Medicare Patrol Projects: May 2009 Performance Report (OEI-02-09-00170)
• Performance Data for the Senior Medicare Patrol Projects: April 2008 Performance Report (OEI-02-08-00120)
• Performance Data for the Senior Medicare Patrol Projects: April 2007 Performance (OEI-02-07-00360)
• Performance Data forthe Senior Medicare Patrol Projects: April 2006 Performance (OEI-02-04-00363;05/06)
• Early Implementationof MMA: Status Report of the State Health Insurance AssistancePrograms (OEI-05-05-00190)
• Performance Data forthe Senior Medicare Patrol Projects: December 2005 Performance (OEI-02-04-00362)
• Performance Data for the SeniorMedicare Patrol Projects: May 2005 Performance (OEI-02-04-00361; 07/05)
• Performance Data for the Senior Medicare Patrol Project October 2004 Performance (OEI-02-04-00360)
• Performance Data for the Senior Medicare Patrol Projects:April 2004 Performance (OEI-02-03-00122; 05/04)
• Performance Data for the Senior Medicare Patrol Projects: October 2003 Performance (OEI-02-03-00121)
• Data for the Senior Medicare Patrol Projects: March 2003 Performance (OEI-02-03-00120;04/03)
• Performance Data for the Senior Medicare Patrol Projects: August 2002 Performance (OEI-02-02-00560;08/02)
• Performance Data for the Senior Medicare Patrol Projects: March 2002 Performance (OEI-02-02-00240;02/02)
• Clinical Performance Measures for Dialysis Facilities Building on the Experiences of the Dialysis Corporations (OEI-01-99-00052; 01/02)
• Clinical Performance Measures for Dialysis Facilities Practices of the Major Dialysis CorporationsSupplemental Report #1 (OEI-01-99-00053; 01/02)
• Clinical Performance Measures for Dialysis Facilities Lessons Learned by the Major Dialysis Corporationsand Implications for Medicare: Supplemental Report # 2 (OEI-01-99-00054; 01/02)
• 24-Month Performance Data for the HIPAA-Funded Project Grantees (OEI-02-97-00524; 12/99)
• 24-Month Performance Data for Senior Medicare Patrol Projects (OEI-02-97-00523; 9/99)
• Early Efforts by States to Monitor Outcomes of Welfare Reform (OEI-05-98-00130; 1/99)
• Health Care Anti-Fraud Volunteer Project Performance Measures (OEI-02-97-00520; 4/98)
• Medicare Risk HMO Performance Indicators (OEI-06-91-00734; 10/95)
• Early and Periodic Screening, Diagnosis, and Treatment--Performance Measurement (OEI-07-90-00130;8/92)
• Performance Indicators, Annual Reports, and State Medical Discipline: A State-by-State Review (OEI-01-89-00563; 7/91)
• Evaluating Head Start Expansion Through Performance Indicators (OEI-09-91-00762; 5/93)
• Performance Indicators in the JOBS Program (OEI-12-91-01380; 7/92)

Back Top

Perinatal

• see: Pregnancy

Back Top

Personnel/Staff

• Personnel Suitability and Security (OAI-02-86-00079; 11/87)
• Ethics in Government (OEI-02-90-00710; 5/90)

Back Top

Pharmacists

• see also: Drugs and Drug Industry
• Key Medicare Tools To Safeguard Against Pharmacy Fraud and Inappropriate Billing Do Not Apply to Part D OEI-02-15-00440
• Some Medicare Part D Beneficiaries Face Avoidable Extra Steps That Can Delay or Prevent Access to Prescribed Drugs (OEI-09-16-00411)
• Questionable Billing for Compounded Topical Drugs in Medicare Part D (OEI-02-16-00440)
• Increases in Reimbursement for Brand-Name Drugs in Part D (OEI-03-15-00080)
• Medicaid Rebates for Brand-Name Drugs Exceeded Part D Rebates by a Substantial Margin (OEI-03-13-00650)
• Compounded Drugs Under Medicare Part B: Payment and Oversight (OEI-03-13-00270)
• Contract Pharmacy Arrangements in the 340B Program (OEI-05-13-00431)
• High-Risk Compounded Sterile Preparations and Outsourcing by Hospitals That Use Them (OEI-01-13-00150)
• Gaps in Oversight of Conflicts of Interest in Medicare Prescription Drug Decisions (OEI-05-10-00450)
• Analyzing Changes to Medicaid Federal Upper Limit Amounts (OEI-03-11-00650)
• Inappropriate Medicare Part D Payments for Schedule II Drugs Billed as Refills (OEI-02-09-00605)
• Higher Rebates for Brand-Name Drugs Result in Lower Costs for Medicaid Compared to Medicare Part D (OEI-03-10-00320)
• Medicare Prescription Drug Sponsors' Training To Prevent Fraud, Waste, and Abuse (OEI-01-10-00060)
• Medicaid Recovery of Pharmacy Payments from Liable Third Parties (OEI-03-00-00030; 08/01)
• Prescription Drug Use In Nursing Homes - Report 1 - An Introduction Based on Texas (OEI-06-96-00080;11/97)
• Prescription Drug Use In Nursing Homes - Report 2 - An Inside View by Consultant Pharmacists (OEI-06-96-00081;11/97)
• Prescription Drug Use In Nursing Homes - Report 3 - A Pharmaceutical Review and Inspection Recommendations (OEI-06-96-00082; 11/97)
• State Pharmacy Boards' Oversight of Patient Counseling Laws (OEI-01-97-00040; 8/97)
• Experiences of Health Maintenance Organizations with Pharmacy Benefit Management Companies (OEI-01-95-00110;4/97)
• FDA's Urgent Notices (OEI-07-94-00631; 7/96)
• The Clinical Role of the Community Pharmacist (OEI-01-89-89160; 12/90)
• The Clinical Role of the Community Pharmacist: Case Studies (OEI-01-89-89161; 12/90)
• State Discipline of Pharmacists (OEI-01-89-89020; 8/90)

Back Top

Pharmacy

• see: Drugs and Drug Industry | Pharmacists

Back Top

Physical Therapy

• The Medicare Payment System for Skilled Nursing Facilities Needs To Be Reevaluated (OEI-02-13-00610)
• Skilled Nursing Facility Billing for Changes in Therapy: Improvements are Needed (OEI-02-13-00611)
• Medicaid Payments for Therapy Services in Excess of State Limits (OEI-07-10-00370)
• Questionable Billing for Medicare Outpatient Therapy Services (OEI-04-09-00540)
• Physical , Occupational, and Speech Therapy for Medicare Nursing Home Patients:Medical Necessity and Qualiy of Care Based on Treatment Diagnosis (OEI-09-99-00563; 08/01)
• Physical, Occupational, and Speech Therapy for Medicare Nursing Home Patients: Medical Necessity,Cost and Documentation Under the $1500 Therapy Caps (OEI-09-99-00560; 08/01)
• Monitoring Part B Therapy for Skilled Nursing Facilities Patients (OEI-09-99-00550; 11/00)
• Medical Necessity of Physical and Occupational Therapy in Skilled Nursing Facilities: CaliforniaProbe Sample Results [Early Alert] (OEI-09-97-00120; 4/98)
• Physical Therapy in Physicians' Offices (OEI-02-90-00590; 3/94)

Back Top

Physician Credentials

• Physicians Applying for Federal Service: Requirements and Credentials Verification (OAI-05-88-00750;10/88)

Back Top

Physician Offices

• see also: Surgery
• Loophole in Drug Payment Rule Continues To Cost Medicare and Beneficiaries Hundreds of Millions of Dollars
• Hospital Ownership of Physician Practices (OEI-05-98-00110; 9/99)
• Physical Therapy in Physicians' Offices (OEI-02-90-00590; 3/94)
• Physician Office Surgery (OEI-07-91-00680; 6/93)
• Monitoring Services Provided in Physicians' Offices (OEI-02-90-00410; 3/91)
• Quality Assurance in Physician Office Labs (OAI-05-88-00330;)

Back Top

Physician Services

• Questionable Billing for Medicare Ophthalmology Services (OEI-04-12-00280)
• Overlap Between Physician-Owned Hospitals and Physician-Owned Distributors (OEI-01-14-00270)
• Medical Reserve Corps Volunteers in New York and New Jersey During Superstorm Sandy (OEI-04-13-00350)
• Questionable Billing for Medicare Electrodiagnostic Tests (OEI-04-12-00420)
• Spinal Devices Supplied by Physician-Owned Distributors: Overview of Prevalence and Use (OEI-01-11-00660)
• Limited Supplier Solicitation of Prescribing Physicians Under Medicare DMEPOS Competitive Bidding Program (OEI-06-11-00081)
• Use of Electronic Health Record Systems in 2011 Among Medicare Physicians Providing Evaluation and Management Services (OEI-04-10-00184)
• Louisiana Medicaid Payments and Services Related to Hurricanes Katrina and Rita: Data Compendium (OEI-05-07-00300)
• Lack of Data Regarding Physicians Opting Out of Medicare (OEI-07-11-00340)
• Medicare Part B Billing for Ultrasound (OEI-01-08-00100)
• Medicare Payments for Facet Joint Injection Services (OEI-05-07-00200)
• Cost andPerformance of Medicare's 2005 Chemotherapy Demonstration Project (OEI-09-05-00171)
• Allergen Immunotherapyfor Medicare Beneficiaries (OEI-09-00-00531; 03/06)
• Comparing Medicare Physician Payments to Private Payers (OEI-06-00-00570; 01/03)
• The Physician's Role in Medicare Home Health 2001 (OEI-02-00-00620; 12/01)
• Physician Perspectives of Medicare HMOs (OEI-02-97-00070; 5/98)
• Coding of Physician Services (OEI-03-91-00920; 5/94)
• A Compendium of Reports and Literature on Coding of Physician Services (OEI-03-91-00921; 5/94)
• Monitoring Services Provided in Physicians' Offices (OEI-02-90-00410; 3/91)
• Problems with Coding of Physician Services: Medicare Part B (OAI-04-88-00700; 2/89)
• Medicare Physician Consultation Services (OAI-02-88-00650; 6/88)

Back Top

Pocket Dopplers

• see: Transcranial Dopplers | Medical Devices and Equipment

Back Top

Podiatrists

• Medicare Payments for Surgical Debridement Services in 2004 (OEI-02-05-00390)
• Medicare Payments for Nail Debridement Services (OEI-04-99-00460)
• State Licensure and Discipline of Podiatrists (OAI-01-88-00583; 12/88)

Back Top

Portable Imaging Services

• Portable Imaging Services: Nursing Home Perspectives (OEI-09-95-00091; 11/97)
• Portable Imaging Services: A Costly Option (OEI-09-95-00090; 11/97)

Back Top

Pregnancy

• Routine Prenatal and Postpartum Care for Undocumented Aliens (OEI-07-96-00310; 5/98)
• The Perinatal Service Capacity of the Federally Funded Community Health Centers: Urban Centers (OEI-01-90-02330; 12/92)
• The Perinatal Service Capacity of the Federally Funded Community Health Centers: Rural Centers (OEI-01-90-02331; 12/92)
• The Perinatal Service Capacity of the Federally Funded Community Health Centers: An Overviews (OEI-01-90-02332; 12/92)
• Comprehensive Perinatal Care Program (OEI-01-90-00460; 11/90)
• Medicaid Access to Prenatal Care (OEI-06-90-00162; 10/90)
• Prenatal Substance Exposure: State Child Welfare Laws and Procedures (OEI-03-90-02000; 5/92)
• Medicaid Expansions for Prenatal Care: State and Local Implementation (OEI-06-90-00160; 2/92)

Back Top

Prenatal

• see: Pregnancy

Back Top

Preprocedure Review

• see: Surgery

Back Top

Pressure Reducing Support Surfaces

• Medicare Payments for Pressure Reducing Support Services (OEI-02-95-00370; 6/97)

Back Top

Program Support Center (PSC)

• The Program Support Center's Personnel Service: Customer Service Evaluation (OEI-09-98-00140,3/00)

Back Top

Proprietary Schools

• The JOBS Program and Proprietary Schools (OEI-02-91-00210;)

Back Top

Provider Numbers

• see: Medicare Provider Numbers

Back Top

Psychiatric

• Medicare Outpatient Psychiatric Services (OAI-09-86-00056; 11/85)

Back Top

Public Health Programs

• Hospitals Reported Improved Preparedness for Emerging Infectious Diseases After the Ebola Outbreak (OEI-06-15-00230)
• HRSA Helped Health Centers With Elevated Risks and Can Continue To Take Additional Steps (OEI-05-14-00470)
• OHRP Should Inform Potential Complainants of How They Can Seek Whistleblower Protections (OEI-01-15-00351)
• OHRP Generally Conducted Its Compliance Activities Independently, But Changes Would Strengthen Its Independence (OEI-01-15-00350)
• CDC Generally Met Its Inspection Goals for the Federal Select Agent Program; However, Opportunities Exist To Strengthen Oversight (OEI-04-15-00430)
• Medical Reserve Corps Volunteers in New York and New Jersey During Superstorm Sandy (OEI-04-13-00350)
• The Office for Human Research Protections' Evaluation of the Surfactant, Positive Pressure, and Oxygenation Randomized Trial (OEI-01-14-00560)
• Progress in Electronic Health Record Implementation Through HRSA Grants to Health Center Controlled Networks (OEI-09-11-00380)
• HHS Public Health and Medical Services Emergency Support Preparedness (OEI-04-11-00260)
• SAMHSA's Administration of Grants (OEI-07-10-00220)
• Local Public Health Preparedness for Radiological and Nuclear Incidents (OEI-04-10-00250)
• Public Health and Managed Care: Opportunities for Collaboration (OEI-01-98-00170; 7/99)
• The Children's Health Insurance Program - States' Application and Enrollment Processes: An EarlyReport From the Front Lines (OEI-05-98-00310; 5/99)
• Results-Based Systems for Public Health Programs, Volume 1: Lessons from State Initiatives (OEI-05-96-00260;9/97)
• Results-Based Systems for Public Health Programs, Volume 2: State Case Studies (OEI-05-96-00261;9/97)

Back Top

Publications

• Medicare Managed Care: Goals of National Marketing Guide (OEI-03-98-00270; 2/00)
• Medicare Managed Care: Marketing Materials (OEI-03-98-00271; 2/00)
• Beneficiary Awareness of HCFA Publications in 1997 (OEI-04-97-00033; 9/98)
• "Know Your Number" Brochure: Perspectives of Dialysis Patients (OEI-06-95-00320; 1/97)
• "Know Your Number" Brochure: Experiences of Dialysis Facilities (OEI-06-95-00321; 1/97)
• Beneficiary Satisfaction with 1996 Medicare Handbook (OEI-04-96-00280; 2/97)
• Beneficiary Awareness of HCFA Publications (OEI-04-93-00141; 6/95)

Select One