Reports

• Utah Correctly Claimed Most of Its Medicaid Supplemental Physicians Payments

  

• CMS Did Not Identify All Federal Marketplace Contract Costs and Did Not Properly Validate the Amount To Withhold for Defect Resolution on the Principal Federal Marketplace Contract

  

• Public Summary Report: The Centers for Medicare & Medicaid Services Implementation of Security Controls Over the Multidimensional Insurance Data Analytics System Needs Improvement

  

• States Collection of Rebates for Drugs Paid Through Medicaid Managed Care Organizations Has Improved

  

• Questionable Billing for Medicare Ophthalmology Services

  

• TrailBlazer Health Enterprises, LLC, Did Not Claim Some Allowable Medicare Postretirement Benefit Costs for Fiscal Years 2005 Through 2011

  

• TrailBlazer Health Enterprises, LLC, Understated Its Allocable Medicare Postretirement Benefit Plan Costs for Calendar Years 2008 Through 2013

  

• CMS Did Not Always Manage and Oversee Contractor Performance for the Federal Marketplace as Required by Federal Requirements and Contract Terms

  

• Jefferson Hospital Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor

  

• Rhode Island State Medicaid Fraud Control Unit: 2014 Onsite Review

  

• Texas Made Incorrect Medicaid Electronic Health Record Incentive Payments

  

• Providers Did Not Always Reconcile Patient Records With Credit Balances and Report and Return the Associated Medicaid Overpayments to State Agencies

  

• 2016 SUMMER LEGAL EXTERN POSITIONS

  

• HHS Oversight of Grantees Could Be Improved Through Better Information Sharing

  

• Some of New Jerseys Claims for Medicaid Personal Care Services Did Not Comply With Federal and State Requirements

  

• Medicare Compliance Review of Moses H. Cone Memorial Hospital for 2012

  

• National Government Services Claimed Allowable Administrative Costs for Fiscal Year 2010 and the First Quarter of Fiscal Year 2011 under Medicare Contract 00450

  

• National Government Services Claimed Allowable Administrative Costs for Fiscal Year 2010 and the First Quarter of Fiscal Year 2011 Under Medicare Contract 00130

  

• Community of Hope Generally Complied With the Requirements of a Capital Development Grant Funded Under the Affordable Care Act

  

• Medicare Compliance Review of Saint Lukes Hospital of Chesterfield for 2011 and 2012