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Reports

  • Enhancements Needed in the Tracking and Collection of Medicare Overpayments Identified by ZPICs and PSCs
  • Wisconsin Physicians Service Insurance Corporation Claimed Unallowable Medicare Part A Administrative Costs for Fiscal Year 2012
  • Hawaii Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations
  • Washington State Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations
  • CMS Did Not Provide Effective Oversight To Ensure That State Marketplaces Always Properly Determined Individuals Eligibility for Qualified Health Plans and Insurance Affordability Programs
  • California Did Not Always Ensure That Allegations and Referrals of Abuse and Neglect of Children Eligible for Title IV E Foster Care Payments Were Properly Recorded, Investigated, and Resolved
  • Integrated Health Administrative Services, Inc., Improperly Claimed Medicare Part B Reimbursement for Portable X-ray Services
  • Minnesota Did Not Always Comply With Federal and State Requirements for Claims Submitted for the Nonemergency Medical Transportation Program
  • Massachusetts Generally Complied With State Requirements To Ensure Children Who Were Title IV-E Eligible and Residing in Foster Care Congregate Care Group Homes Received Required Medical Services
  • Kentucky State Medicaid Fraud Control Unit: 2017 Onsite Review
  • Alaska State Medicaid Fraud Control Unit: 2016 Onsite Review
  • Medicare Compliance Review of Parkridge Medical Center, Inc., for 2014 and 2015
  • Vulnerabilities Remain in Medicare Hospital Outlier Payments
  • Medicare Inappropriately Paid Acute-Care Hospitals for Outpatient Services They Provided to Beneficiaries Who Were Inpatients of Other Facilities
  • Alabama Did Not Adequately Secure Its Medicaid Data and Information Systems
  • Wisconsin Did Not Always Comply With Maternal, Infant, and Early Childhood Home Visiting Program Requirements
  • Blue Cross Blue Shield Association Generally Claimed Allowable Medicare Postretirement Benefit Costs
  • Nevada Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations
  • Drug Supply Chain Security: Wholesalers Exchange Most Tracing Information
  • Arkansas Did Not Make Supplemental Payments in Accordance With Federal Requirements
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