Reports

• Maryland Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs

  

• Using Software to Detect Upcoding of Hospital Bills

  

• Noridian Healthcare Solutions, LLC, Inappropriately Paid Hospitals' Medicare Claims Subject to the Postacute Care Transfer Policy in Jurisdiction 2

  

• Oregon Claimed Some Potentially Unallowable Community Services Block Grant Costs for Multnomah County's Expenditures Under the Recovery Act

  

• Hawaii Did Not Comply With Some Provisions of the QUEST Expanded Medicaid Demonstration Project When Determining Eligibility for Federal Reimbursement of Uncompensated Care Costs

  

• Monitoring the Accuracy of Hospital Coding 

  

• Illinois Claimed Potentially Unallowable Community Services Block Grant Costs for Community Action Partnership of Central Illinois' Expenditures Under the Recovery Act

  

• Medicare Payments for DRG 475: Respiratory System Diagnosis with Ventilator Support

  

• Georgia Did Not Pay Some Line Items on Medicaid Claims in Accordance With Its Medicaid National Correct Coding Initiative Methodologies

  

• Medicare Payments for Septicemia

  

• Neighborhood House Association Claimed Allowable Head Start Costs but Did Not Maintain Adequate Internal Controls Related to Personnel, Facilities, and Subcontracts

  

• Kentucky Did Not Correctly Calculate Payment Rates for Private Facilities or Report Cost Settlement Adjustments to CMS

  

• Noridian Healthcare Solutions, LLC, Overstated Its Allocable Pension Costs for Calendar Years 2006 Through 2010

  

• Medicare Payments for DRG 296: Nutritional and Miscellaneous Metabolic Disorders

  

• Noridian Healthcare Solutions, LLC, Claimed Some Unallowable Medicare Pension Costs for Fiscal Years 2006 Through 2010

  

• Hawaii Claimed Unallowable Community Services Block Grant Costs for Honolulu Community Action Program, Inc.'s Expenditures Under the Recovery Act

  

• Southeastern Tidewater Opportunity Project, Inc., Head Start Program Claimed Unallowable Costs for Grant Year April 1, 2010, Through

  

• CMS Should Improve Oversight for the Transfer of True Out-of-Pocket Costs Between Part D Plans

  

• Medicare Payments for DRG 014: Specific Cerebrovascular Disorders Except Transient Ischemic Attack

  

• Medicare Hospital Prospective Payment System: How DRG Rates Are Calculated and Updated