Reports
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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
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Calculation of Potential Inflation-Indexed Rebates For Medicare Part B Drugs 2017
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Advisory Opinion 17-04
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As Funding for BPA Research Increased, NIEHS Followed Its Peer Review Process While Also Exercising Its Discretion
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Oklahoma Did Not Adequately Oversee Its Medicaid Nonemergency Medical Transportation Program
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Fox Rehabilitation Claimed Unallowable Medicare Reimbursement for Outpatient Therapy Services
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Accredo Health Group, Inc., Properly Billed Medicare for Inhalation Drugs
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Medicare Shared Savings Program Accountable Care Organizations Have Shown Potential for Reducing Spending and Improving Quality
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Advisory Opinion 17-03
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Early Alert: The Centers for Medicare & Medicaid Services Has Inadequate Procedures To Ensure That Incidents of Potential Abuse or Neglect at Skilled Nursing Facilities Are Identified and Reported in Accordance With Applicable Requirements
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TrailBlazer Health Enterprises, LLC, Claimed Some Unallowable Medicare Administrative Contract Pension Costs
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Colorado State Medicaid Fraud Control Unit: 2016 Onsite Review