Reports

• Medicare Compliance Review of the University of Kentucky HealthCare for 2011 and 2012

  

• SAMHSA Has Improved Outcome Reporting for the Substance Abuse Prevention and Treatment Block Grant

  

• CMSs Reliance on Accreditation Surveys Could Not Ensure the Quality of Care Provided to Medicare Hospice Beneficiaries by The Community Hospice, Inc.

  

• AgeWell Physical Therapy & Wellness, P.C., Claimed Unallowable Medicare Part B Reimbursement for Outpatient Therapy Services

  

• New York Did Not Have Evidence Available in Readily Reviewable Form To Support That It Reimbursed Medicaid Diabetic Testing Supply Rebates to the Federal Government

  

• Some of the State-Operated Medicaid Program Expenditures Claimed by Missouri During the Period October 1, 2010, Through June 30, 2012, Were Unallowable

  

• Questionable Billing and Geographic Hotspots Point to Potential Fraud and Abuse in Medicare Part D

  

• Ensuring the Integrity of Medicare Part D

  

• CMSs Internal Controls Did Not Effectively Ensure the Accuracy of Aggregate Financial Assistance Payments Made to Qualified Health Plan Issuers Under the Affordable Care Act

  

• CMSs Reliance on New Jersey Qualification Requirements Could Not Ensure the Quality of Care Provided to Medicaid Beneficiaries Receiving Home Health Services

  

• CMSs Reliance on Puerto Ricos Certification Surveys Could Not Ensure the Quality of Care Provided to Medicare Hospice Beneficiaries by Servicios Suplementarios de Salud, Inc.

  

• Most Medicaid Payments Texas Made to Providers for Full Vials of Herceptin Were Incorrect

  

• Illinois Improperly Claimed Medicaid Reimbursement for Optical Services and Supplies

  

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

  

• The Hospital of Central Connecticut Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor

  

• CGS Administrators, LLC, Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments

  

• Advisory Opinion 15-07 

  

• Advisory Opinion 15-06

  

• Texas Paid Millions for Unallowable Medicaid Orthodontic Services

  

• Advanced Chiropractic Services Received Unallowable Medicare Payments for Chiropractic Services