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Reports

  • 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
  • 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
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