Reports

• 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

  

• Minnesota Underreported the Federal Share and Did Not Accurately Report All Medicaid Overpayment Collections

  

• National Government Services, Inc., Understated Its Allocable Pension Costs for Calendar Years 2006 Through 2009

  

• Medicare Compliance Review of Loma Linda University Medical Center for 2011 and 2012

  

• United Government Services, LLC, Understated Its Medicare Segment Pension Assets as of January 1, 2010

  

• United Government Services, LLC, Claimed Some Unallowable Medicare Pension Costs for Fiscal Years 1999 Through 2006