Reports
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Kentucky State Medicaid Fraud Control Unit: 2017 Onsite Review
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Alaska State Medicaid Fraud Control Unit: 2016 Onsite Review
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Medicare Compliance Review of Parkridge Medical Center, Inc., for 2014 and 2015
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Vulnerabilities Remain in Medicare Hospital Outlier Payments
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Medicare Inappropriately Paid Acute-Care Hospitals for Outpatient Services They Provided to Beneficiaries Who Were Inpatients of Other Facilities
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Alabama Did Not Adequately Secure Its Medicaid Data and Information Systems
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Wisconsin Did Not Always Comply With Maternal, Infant, and Early Childhood Home Visiting Program Requirements
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Blue Cross Blue Shield Association Generally Claimed Allowable Medicare Postretirement Benefit Costs
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Nevada Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations
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Drug Supply Chain Security: Wholesalers Exchange Most Tracing Information
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Arkansas Did Not Make Supplemental Payments in Accordance With Federal Requirements
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New York State Improperly Claimed Medicaid Reimbursement for Some Managed Long-Term Care Payments
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CMS Oversight Must Continue Because All Remaining Consumer Operated and Oriented Plans Were Not Profitable and May Not Be Viable and Sustainable
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Companion Data Services, LLC, Overstated Its Medicare Segment Pension Assets
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Kansas Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid
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Blue Cross Blue Shield of South Carolina Overstated Its Allocable Qualified Pension Plan Costs
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Challenges Appear to Limit States Use of Medicaid Payment Suspensions
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CMS and Its Claims Processing Contractors Issued Conflicting Guidance on the Proper Use of the KX Modifier for Part B Immunosuppressive Drug Claims
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Advisory Opinion 17-05
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Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2014 Average Sales Prices