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All Reports and Publications

All Reports and Publications

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

Medicaid Agencies Made Millions in Unallowable Capitation Payments to Managed Care Organizations on Behalf of Deceased Enrollees

Audit of Medicare Administrative Contractor Information Security Program Evaluations for Fiscal Year 2024

Illinois Made Unallowable Managed Care Capitation Payments on Behalf of Incarcerated Medicaid Enrollees

Essence Healthcare, Inc., Did Not Comply With Federal Requirement for Reporting Direct and Indirect Remunerations for Contract Years 2017 Through 2020

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

New Jersey Should Improve Its Oversight of Nursing Homes’ Compliance With Background Check Requirements

Arkansas Could Better Ensure That Intermediate Care Facilities for Individuals With Intellectual Disabilities Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control

Medicare Advantage Compliance Audit of Specific Diagnosis Codes Humana Health Benefit of Louisiana (Contract H1951) Submitted to CMS

Podiatrists’ Claims for Routine Foot Care Services Did Not Comply With Medicare Requirements

Podiatrists’ Claims for Evaluation and Management Services Did Not Comply With Medicare Requirements

Florida Retina Institute Generally Met Medicare Requirements for Ophthalmology Services Provided on the Same Day as Eye Injections

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

Medicare Improperly Paid Selected Optometrists for Services Provided to Enrollees at Nursing Facilities

Dermatology Providers Generally Met Medicare Requirements for Evaluation and Management Services Performed on Same Day as Minor Surgical Procedures

CMS Put $11.2 Billion at Risk of Fraud, Waste, and Abuse by Not Properly Closing Contracts

Nearly All Skilled Nursing Services Provided by Pinnacle Multicare Nursing and Rehabilitation Center Did Not Meet Medicare Payment Requirements

Office of Inspector General’s Partnership With the Office of the Kentucky State Auditor of Public Accounts: State Auditor’s Report How Kentucky Failed to Prevent Over $800 Million of Medicaid Waste

Pennsylvania Correctly Invoiced Rebates to Manufacturers for Most Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations

Texas' Ambulance Services Supplemental Payment Program Did Not Comply With Federal and State Reimbursement Requirements

All Reports and Publications

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