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All Reports and Publications

Tennessee Claimed Federal Medicaid Reimbursement for Millions of Dollars in Targeted Case Management Services That Did Not Comply With Federal and State Requirements

Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2024 Average Sales Prices

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

Hospice of the Valley - West Received at Least $8.6 Million in Medicare Overpayments

North Dakota Could Better Ensure That Providers Fully Comply With Federal Waiver and State Health, Safety, and Administrative Requirements at 44 Residential Settings

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

Medicare Home Health Agency Provider Compliance Audit: VNS Health

Colorado Made at Least $77.8 Million in Improper Fee-for-Service Medicaid Payments for Applied Behavior Analysis Provided to Children

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

ACF Can Improve Services to Homeless Youth by Strengthening Grant Recipients’ Compliance With Transitional Living Program Requirements

Maine Made at Least $45.6 Million in Improper Fee-for-Service Medicaid Payments for Rehabilitative and Community Support Services Provided to Children Diagnosed With Autism

Medicare Home Health Agency Provider Compliance Audit: Guardian Home Care, LLC

New Jersey Did Not Ensure Providers Complied With Federal and State Requirements at All 20 Adult Day Health Services Facilities Audited

South Carolina Did Not Comply With Federal Waiver and State Requirements at 19 of 20 Adult Day Care Facilities

Medicare Home Health Agency Provider Compliance Audit: VNA Care Network

Indiana Did Not Fully Comply With Federal Waiver and State Health, Safety, and Administrative Requirements at 30 Residential Settings

New Jersey Did Not Ensure That Some Medicaid Personal Care Assistant Services Provided Under the Personal Preference Program Met Federal and State Requirements

Texas Did Not Calculate or Collect Hospice Cap Overpayments Totaling $10.5 Million

Medicare Part B Payment Trends for Skin Substitutes Raise Major Concerns About Fraud, Waste, and Abuse

Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2023 Average Sales Prices

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