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All Reports and Publications

All Reports and Publications

Alabama State Medicaid Fraud Control Unit: 2014 Onsite Review

Lone Star Circle of Care Complied With Federal Requirements Related to Its Affordable Care Act-Funded Community Health Center Fund Grant

Colorado Paid Over 800 Thousand Medicaid Claims With Missing or Invalid National Provider Identifiers During 2011

Review of the Accounting Structure Used for the Administration of Premium Tax Credits

Cahaba Government Benefit Administrators, LLC, Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments

California Claimed Medicaid Reimbursement for Certain Nonemergency Medical Transportation Services in Los Angeles County Billed as Exempt From Prior Authorization That Did Not Comply With Federal and State Requirements

First Coast Service Options, Inc., Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments

Novitas Solutions, Inc. (Formerly Highmark Medicare Services, Inc.), Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments

Maryland Misallocated Millions to Establishment Grants for a Health Insurance Marketplace

North Carolina Claimed Federal Medicaid Reimbursement for Dental Services That Did Not Always Comply With Federal and State Requirements

Iowa Did Not Always Make Correct Medicaid Adjustments

Second-Generation Antipsychotic Drug Use Among Medicaid-Enrolled Children: Quality-of-Care Concerns

Wisconsin Received Some Unallowable Bonus Payments

Texas Claimed Unallowable Federal Reimbursement for Some Family Planning Services

National Government Services, Inc., Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments in Jurisdiction 8

Ohio Did Not Always Comply With the Requirements of the Affordable Care Act in its Review of Cases of Credible Allegations of Medicaid Fraud

Medicare Could Have Saved Billions at Critical Access Hospitals If Swing-Bed Services Were Reimbursed Using the Skilled Nursing Facility Prospective Payment System Rates

Some Minnesota Childcare Home Providers Did Not Always Comply With State Health and Safety Licensing Requirements

Some Minnesota Childcare Centers Did Not Always Comply With State Health and Safety Licensing Requirements

University Hospitals Case Medical Center Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor

All Reports and Publications

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