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Reports

  • The Centers for Medicare & Medicaid Services Review Contractor Did Not Document Medicaid Managed Care Payment Review Determinations Made Under the Payment Error Rate Measurement Program
  • Insights on Telehealth Use and Program Integrity Risks Across Selected Health Care Programs During the Pandemic
  • Fall 2022 Semiannual Report to Congress
  • Medicare Improperly Paid Physicians for Co-Surgery and Assistant-at-Surgery Services That Were Billed Without the Appropriate Payment Modifiers
  • National Government Services, Inc., Accurately Calculated Hospice Cap Amounts but Did Not Collect All Cap Overpayments
  • Medicare Providers Did Not Always Comply With Federal Requirements When Billing for Advance Care Planning
  • Medicare Advantage Compliance Audit of Specific Diagnosis Codes That BCBS of Rhode Island (Contract H4152) Submitted to CMS
  • The Centers for Medicare & Medicaid Services Review Contractors Generally Conducted Medicaid Fee-for-Service Claim Reviews for Selected States Under the Payment Error Rate Measurement Program in Accordance with Federal and State Requirements
  • Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Second Quarter of 2022
  • Long-Term Trends of Psychotropic Drug Use in Nursing Homes
  • Medicare Advantage Compliance Audit of Specific Diagnosis Codes That California Physicians Service, Inc. (Contract H0504) Submitted to CMS
  • The Number of Beneficiaries Who Received Medicare Part B Clinical Laboratory Tests Decreased During the First 10 Months of the COVID-19 Pandemic
  • Operational Challenges Within the Office of Refugee Resettlement and Emergency Intake Site at Fort Bliss Hindered Case Management for Children
  • During the Initial COVID-19 Response, HHS Personnel Who Interacted With Potentially Infected Passengers Had Limited Protections
  • CMS Generally Ensured That Medicare Part C and Part D Sponsors Did Not Pay Ineligible Providers for Services to Medicare Beneficiaries
  • Payments Made to Providers Under the Covid-19 Accelerated and Advance Payments Program Were Generally in Compliance with the CARES Act and Other Federal Requirements
  • IHS Did Not Always Provide the Necessary Resources and Assistance To Help Ensure That Tribal Programs Complied With All Requirements During Early COVID-19 Vaccination Program Administration
  • Home Health Agencies Used Multiple Strategies To Respond to the COVID-19 Pandemic, Although Some Challenges Persist
  • U.S. Department of Health and Human Services Met the Requirements of the Digital Accountability and Transparency Act of 2014, With Areas That Require Improvement
  • Texas Claimed or May Have Claimed More Than $30 Million of $9.89 Billion in Federal Funds for Medicaid Uncompensated Care Payments That Did Not Meet Federal and State Requirements
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