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All Reports and Publications

Wisconsin Physicians Service Insurance Corporation Made Incorrect Medicare Payments to Providers for Outpatient Services

Novitas Solutions, Inc., Improperly Paid Approximately $19.5 Million for Selected Medicare Part B Services Provided to Patients Residing in Nursing Homes

Medicare Could Have Saved $255.1 Million Related to Hospice Services for Certain New Hospice Enrollees

Jefferson Regional Medical Center Received at Least $4.7 Million in Medicare Overpayments

A Small Southeastern Hospital Had Effective Cybersecurity Controls To Prevent, Detect, and Respond To Cyberattacks

Congressional Mandate: Part B Billing Codes for Six Drugs Included Noncovered Self-Administered Versions During January 2025 - March 2026

Lehigh Valley Hospital Received At Least $17.8 Million in Medicare Overpayments

Unclear Medicare Requirements Led to Differing Interpretations of Inpatient Rehabilitation Facility Documentation, Coverage, and Billing Requirements

Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Fourth Quarter of 2025

Utilization Trends and Medicare Part B Billing for Office-Based Peripheral Vascular Procedures Raise Questions About Program Integrity

Medicare Payments for Positive Airway Pressure Devices Used for the Treatment of Obstructive Sleep Apnea Generally Complied With Medicare Requirements

CMS Could Strengthen Medicare Program Safeguards To Prevent and Detect Potentially Improper Payments for Virtual Check-in and E-visit Services

Medicare Home Health Agency Provider Compliance Audit: VNS Health

Congressional Mandate: Part B Payment Amounts for One Drug Included Noncovered Self-Administered Versions in 2024

Nursing Homes Inappropriately Diagnosed Residents with Schizophrenia to Mask the Misuse of Antipsychotic Drugs

Nursing Homes’ Inappropriate Use of Antipsychotic Drugs Poses a Risk to Residents

Emergency Department Procedure Codes Used on Medicare Claims for Services Billed With Nonemergency Department Sites of Service Resulted in Over $15 Million in Improper and Potentially Improper Payments

Psychosocial Characteristics and Their Association With Kidney Transplant Programs Waitlist Rates

Sarasota Memorial Hospital Received At Least $12.1 Million in Medicare Overpayments

Medicare Home Health Agency Provider Compliance Audit: Alternate Solutions Homecare of Dayton

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