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Reports

  • 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
  • Medicare Payments for Clinical Laboratory Tests in 2014: Baseline Data
  • Inappropriate Payments and Questionable Billing for Medicare Part B Ambulance Transports
  • OCR Should Strengthen Its Oversight of Covered Entities Compliance With the HIPAA Privacy Standards
  • OCR Should Strengthen Its Followup of Breaches of Patient Health Information Reported by Covered Entities
  • 2016 Spring Legal Extern Positions
  • Hawaii State Medicaid Fraud Control Unit: 2014 Onsite Review
  • CMSs Reliance on Puerto Ricos Certification Surveys Could Not Ensure the Safety of Medicare Beneficiaries Who Received Home Health Care Services Provided by St. Lukes Home Health Agency - Juana Diaz
  • District of Columbia Medicaid Fraud Control Unit: 2015 Onsite Review
  • Maine State Medicaid Fraud Control Unit: 2015 Onsite Review
  • Not All Internal Controls Implemented by the New York Marketplace Were Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements
  • Oklahoma Made Incorrect Medicaid Electronic Health Record Incentive Payments to Health Care Professionals
  • 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
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