Reports

• Oklahoma State Medicaid Fraud Control Unit: 2014 Onsite Review

  

• Opportunities for Program Improvements Related to States Withdrawals of Federal Medicaid Funds

  

• Hospices Inappropriately Billed Medicare Over $250 Million for General Inpatient Care

  

• Group Health Incorporated Claimed Unallowable Medicare Pension Costs for Plan Years 2007 and 2008

  

• California Improperly Claimed Enhanced Federal Reimbursement for Selected Claim Lines for Medicaid Family Planning Drugs and Supplies in Los Angeles and Orange Countiesq

  

• Some Florida Childcare Centers Did Not Always Comply With State Health and Safety Licensing Requirements

  

• Some Florida Family Childcare Homes Did Not Always Comply With State Health and Safety Requirements

  

• Link2Health Solutions, Inc., Budgeted Costs That Were Not Appropriate and Claimed Some Unallowable Hurricane Sandy Disaster Relief Act Funds

  

• Wisconsin Physicians Services Payments to Providers for Hospital Outpatient Dental Services in Jurisdiction 5 and Jurisdiction 8 Generally Did Not Comply With Medicare Requirements

  

• Missouri Claimed Unallowable Medicaid Payments for Individualized Supported Living Habilitation Services

  

• A Texas Physical Therapist Claimed Unallowable Medicare Part B Reimbursement for Outpatient Therapy Services

  

• Expenses Incurred by the Rocky Boy Health Board Were Not Always Allowable or Adequately Supported

  

• The Medicare Contractors for Jurisdiction E Overpaid Claims for Replaced Cardiac Medical Devices When Hospitals Had Not Reported Manufacturer Credits

  

• Advisory Opinion 16-03

  

• Oregon Properly Verified Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid

  

• Medicare Compliance Review of Billings Clinic Hospital for 2012 and 2013

  

• Not All of the Vermont Marketplaces Internal Controls Were Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements

  

• Medicare Compliance Review of Freeman Hospital for 2011 and 2012

  

• Maryland Claimed Unallowable Costs for Medicaid Communicable Disease Care Services

  

• Review of the Department of Health and Human Services Compliance with the Federal Information Security Modernization Act of 2014 for Fiscal Year 2015