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All Reports and Publications

Medicare and Medicaid Payments to Providers Are at Risk of Diversion Through Electronic Funds Transfer Fraud Schemes

Medicare Contractors Did Not Use Complete and Timely Utilization Data When Making Part B Coverage Determinations for Stelara

Mental Health Center of Florida Generally Met Medicare Billing Requirements for Some Psychotherapy Services

Medicare Paid Claims That Were Not in Accordance With the Over-the- Counter COVID-19 Test Kits Demonstration Quantity Limitation

Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Third Quarter of 2024

Not All Medicare Enrollees Are Continuing Treatment for Opioid Use Disorder

Medicare Improperly Paid Suppliers for Intermittent Urinary Catheters

Total Medicare Part B Spending on Lab Tests Decreased in 2023, Driven in Part by Less Spending on COVID-19 Tests

Update: Xolair Prefilled Syringes Likely Meet Part B Coverage Criteria

Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Second Quarter of 2024

Medicare Improperly Paid Acute-Care Hospitals an Estimated $190 Million Over 5 Years for Outpatient Services Provided to Hospice Enrollees

National Government Services, Inc., Reopened and Corrected Cost Report Final Settlements With Obvious Errors To Collect Overpayments Made to Medicare Providers

Additional Oversight of Remote Patient Monitoring in Medicare Is Needed

Medicare and Medicaid Enrollees in Many High-Need Areas May Lack Access to Medications for Opioid Use Disorder

Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2022 Average Sales Prices

Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the First Quarter of 2024

Medicare and Some Enrollees Paid Substantially More When Stelara Was Covered Under Part D Versus Part B

Medicare Remains Vulnerable to Fraud, Waste, and Abuse Related to Off-the-Shelf Orthotic Braces, Which May Result in Improper Payments and Impact the Health of Enrollees

Department of Health and Human Services Met Many Requirements, but It Did Not Fully Comply With the Payment Integrity Information Act of 2019 and Applicable Improper Payment Guidance for the Fiscal Year 2023

Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Fourth Quarter of 2023

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