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Reports

  • Medicare Contractors Payments to Providers for Hospital Outpatient Dental Services in Jurisdiction K Did Not Comply With Medicare Requirements
  • North Carolina Received Millions in Unallowable Bonus Payments
  • Advisory Opinion 15-09
  • Washington State Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid
  • The Medicare Contractor for Jurisdiction 1 Overpaid a Provider That Incorrectly Billed for Aflibercept
  • Medicare Compliance Review of Saint Marys Health Center for 2011 and 2012
  • Maryland Claimed Unallowable Medicaid Costs for Residential Habilitation Add-on Services Under Its Community Pathways Waiver Program
  • Massachusetts Made Claim Adjustments in Accordance With Federal Time Limit Regulations
  • Not All States Reported Medicaid Managed Care Encounter Data as Required
  • Arkansas Made Incorrect Medicaid Electronic Health Record Incentive Payments to Hospitals
  • Wisconsin Physicians Service Insurance Corporation Overpaid a Provider That Incorrectly Billed for Aflibercept
  • Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2014
  • CMSs Reliance on New Jersey Licensure Requirements Could Not Ensure the Quality of Care Provided to Medicaid Hospice Beneficiaries
  • Skilled Nursing Facility Billing for Changes in Therapy: Improvements are Needed
  • Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2015
  • 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
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