Reports

• The Medicaid Program Could Have Achieved Savings if New York Applied Medical Loss Ratio Standards Similar to Those Established by the Affordable Care Act

  

• Medicare Compliance Review of Boca Raton Regional Hospital, Inc., for 2011 and 2012

  

• Most Medicaid Payments Oklahoma Made to Providers for Full Vials of Herceptin Were Correct

  

• Delaware Medicaid Electronic Health Record Payments

  

• Kindred Hospital of Central Ohio Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor

  

• Vibra Hospital Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor

  

• Advisory Opinion 15-13

  

• Wisconsin Inappropriately Withdrew Federal Medicaid Funds for Fiscal Years 2010 Through 2012

  

• Total Sleep Management, Inc., Billed Medicare for Unallowable Sleep Study Services

  

• The Kentucky Marketplaces Internal Controls Were Generally Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements

  

• Medicare Compliance Review of Altru Hospital for 2012 and 2013

  

• Massachusetts Generally Complied With Medicaid Requirements When Claiming Reimbursement for School-Based Health Services

  

• Information Blocking and the Federal Anti-Kickback Statute

  

• Testimony of Gary Cantrell

  

• Review of Intermediate Care Facilities in New York With High Rates of Emergency Room Visits by Intellectually Disabled Medicaid Beneficiaries

  

• Kansas Correctly Claimed Federal Reimbursement for Most Medicaid Physician-Administered Drugs

  

• Arkansas Complied With the Requirements of the Affordable Care Act in Its Review of Cases of Credible Allegations of Medicaid Fraud

  

• National Government Services, Inc., Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments

  

• The Medicare Payment System for Skilled Nursing Facilities Needs To Be Reevaluated

  

• Georgia State Medicaid Fraud Control Unit: 2015 Onsite Review