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Reports

  • Final Rule: State Medicaid Fraud Control Units; Data Mining (FR 78 29055)
  • Mount Vernon Neighborhood Health Center, Inc., Claimed Unallowable Federal Grant Expenditures
  • Review of Pension Costs Claimed for the Medicare Part B Segment by HealthNow New York Inc. for Fiscal Years 1995 Through 2006
  • Proposed Rule: Medicare and State Health Care Programs: Fraud and Abuse; Electronic Health Records Safe Harbor Under the Anti-Kickback Statute (78 Fed. Reg. 21314; April 10, 2013)
  • Audit of HealthNow New York, Inc.'s Unfunded Pension Costs for 1995 Through 2006
  • Review of Medicaid Administrative Costs Claimed by New Jersey for State Fiscal Years 2005 and 2006
  • Revision of Performance Standards for State Medicaid Fraud Control Units
  • St. John's Hospital Reported Costs for Outpatient Services on its 2010 Medicare Cost Report that Complied with Federal Requirements
  • Pennsylvania Generally Claimed Allowable Community Services Block Grant Recovery Act Costs for Community Action Program of Lancaster County (A-03-12-00250)
  • Review of Pension Costs Claimed for Medicare Durable Medical Equipment Regional Carrier Reimbursement by HealthNow New York, Inc., for Fiscal Years 2000 Through 2007
  • Ohio Medicaid Costs for Home Blood-Glucose Test Strips Could Be Reduced by Approximately 50 Percent
  • Point-of-Service Claims Management Systems for Medicaid 
  • A Medicare Contractor's Claimed Administrative Costs Were Generally Allowable
  • Electronic Funds Transfer for Medicaid Providers 
  • Arizona Improperly Claimed Federal Reimbursement for Medicare Part B Premiums Paid on Behalf of Medicaid Beneficiaries
  • Fragmented Billing for Biopsies and Laparotomies 
  • Limits on Beneficiary Financial Liability
  • Medicare Payments for Services After Date of Death
  • Medical Billing Software and Processes Used to Prepare Claims 
  • Review of Resident Data Reported in the Intern and Resident Information System for Medicare Cost Reports Submitted to Highmark Medicare Services, Inc., and National Government Services, Inc.
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