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All Reports and Publications

All Reports and Publications

Medicare Home Health Agency Provider Compliance Audit: Condado Home Care Program, Inc.

Visionquest Industries, Inc.: Audit of Medicare Payments for Orthotic Braces

Desoto Home Health Care, Inc.: Audit of Medicare Payments for Orthotic Braces

Inadequate Edits and Oversight Caused Medicare To Overpay More Than $267 Million for Hospital Inpatient Claims With Post-Acute-Care Transfers to Home Health Services

Review of Medicare Administrative Contractor Information Security Program Evaluations for Fiscal Year 2019

Some Nursing Homes' Reported Staffing Levels in 2018 Raise Concerns; Consumer Transparency Could Be Increased

North Carolina Did Not Ensure That Nursing Facilities Always Reported Allegations of Potential Abuse and Neglect of Medicaid Beneficiaries and Did Not Always Prioritize Allegations Timely

The New York State Medicaid Agency Made Capitation Payments to Managed Care Organizations After Beneficiaries' Deaths

CMS Could Have Saved $192 Million by Targeting Home Health Claims for Review With Visits Slightly Above the Threshold That Triggers a Higher Medicare Payment

On-Site Psychological Services, P.C.: Audit of Medicare Payments for Psychotherapy Services

Alaska Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs

CMS Did Not Administer and Manage Strategic Communications Services Contracts in Accordance With Federal Requirements

Hospitals Overbilled Medicare $1 Billion by Incorrectly Assigning Severe Malnutrition Diagnosis Codes to Inpatient Hospital Claims

Medicaid Data Can Be Used To Identify Instances of Potential Child Abuse or Neglect

Texas Did Not Fully Comply With Federal and State Requirements for Reporting and Monitoring Critical Incidents Involving Medicaid Beneficiaries With Developmental Disabilities

Freedom Orthotics, Inc.: Audit of Medicare Payments for Orthotic Braces

Loophole in Drug Payment Rule Continues To Cost Medicare and Beneficiaries Hundreds of Millions of Dollars

Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2020

Texas Telemedicine Services Were Provided in Accordance with State Requirements

New Jersey Did Not Ensure That Its Managed Care Organizations Adequately Assessed and Covered Medicaid Beneficiaries' Needs for Long-Term Services and Supports

All Reports and Publications

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