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All Reports and Publications

All Reports and Publications

Some Diagnosis Codes That Essence Healthcare, Inc., Submitted to CMS Did Not Comply With Federal Requirements

Medicaid Could Save Hundreds of Millions by Excluding Authorized Generic Drug Transactions to Secondary Manufacturers from Brand Name Drugs' Average Manufacturer Price Calculations

Trends in Deficiencies at Nursing Homes Show That Improvements Are Needed To Ensure the Health and Safety of Residents

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

New Jersey Did Not Provide Adequate Oversight of Its Medicaid Delivery System Reform Incentive Payment Program

Missouri Claimed Some Unallowable Medicaid Payments for Targeted Case Management Services

Michigan Disbursed Only Part of Its Civil Money Penalty Collections, Limiting Resources To Protect or Improve Care for Nursing Facility Residents

CMS Improperly Paid Millions of Dollars for Skilled Nursing Facility Services When the Medicare 3-Day Inpatient Hospital Stay Requirement Was Not Met

New Mexico Did Not Always Appropriately Refund the Federal Share of Recoveries from Managed Care Organizations

TrustSolutions, LLC, Did Not Claim Some Allowable Medicare Pension Costs Through Its Incurred Cost Proposals

CMS Guidance to State Survey Agencies on Verifying Correction of Deficiencies Needs To Be Improved To Help Ensure the Health and Safety of Nursing Home Residents

Medicare Paid Twice for Ambulance Services Subject to Skilled Nursing Facility Consolidated Billing Requirements

Medicare Compliance Review of Community Hospital

Kelley Medical Equipment and Supply, LLC, Received Unallowable Medicare Payments for Orthotic Braces

Although the Centers for Medicare & Medicaid Services Has Made Progress, It Did Not Always Resolve Audit Recommendations in Accordance With Federal Requirements

Virginia Received Millions in Unallowable Bonus Payments

Rhode Island Did Not Ensure Its Managed Care Organizations Complied With Requirements Prohibiting Medicaid Payments for Services Related to Provider-Preventable Conditions

A Queens Chiropractor Received Improper Medicare Payments for Chiropractic Services

Pacific Medical, Inc., Received Some Unallowable Medicare Payments for Orthotic Braces

Dialysis Services Provided by Atlantis Health Care Group of Puerto Rico, Inc., Did Not Comply With Medicare Requirements Intended To Ensure the Quality of Care Provided to Medicare Beneficiaries

All Reports and Publications

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