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Reports

  • Drug Supply Chain Security: Wholesalers Exchange Most Tracing Information
  • Arkansas Did Not Make Supplemental Payments in Accordance With Federal Requirements
  • New York State Improperly Claimed Medicaid Reimbursement for Some Managed Long-Term Care Payments
  • CMS Oversight Must Continue Because All Remaining Consumer Operated and Oriented Plans Were Not Profitable and May Not Be Viable and Sustainable
  • Companion Data Services, LLC, Overstated Its Medicare Segment Pension Assets
  • Kansas Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid
  • Blue Cross Blue Shield of South Carolina Overstated Its Allocable Qualified Pension Plan Costs
  • Challenges Appear to Limit States Use of Medicaid Payment Suspensions
  • CMS and Its Claims Processing Contractors Issued Conflicting Guidance on the Proper Use of the KX Modifier for Part B Immunosuppressive Drug Claims
  • Advisory Opinion 17-05
  • Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2014 Average Sales Prices
  • Calculation of Potential Inflation-Indexed Rebates For Medicare Part B Drugs 2017
  • Advisory Opinion 17-04
  • As Funding for BPA Research Increased, NIEHS Followed Its Peer Review Process While Also Exercising Its Discretion
  • Oklahoma Did Not Adequately Oversee Its Medicaid Nonemergency Medical Transportation Program
  • Fox Rehabilitation Claimed Unallowable Medicare Reimbursement for Outpatient Therapy Services
  • Accredo Health Group, Inc., Properly Billed Medicare for Inhalation Drugs
  • Medicare Shared Savings Program Accountable Care Organizations Have Shown Potential for Reducing Spending and Improving Quality
  • Advisory Opinion 17-03
  • 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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