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Reports

  • DRG 14 Validation Update: Specific Cerebrovascular Disorders Except Transient Ischemic Attacks
  • The New York State Manufacturer Rebate Program Significantly Reduced Medicaid Costs for Home Blood-Glucose Test Strips But Could Achieve Additional Reductions
  • CGS Administrators, LLC, Paid Unallowable Lower Limb Prosthetics Claims
  • National Government Services Claimed Allowable Administrative Costs for Fiscal Years 2008 and 2009 under Medicare Contract 00130
  • New Jersey Did Not Always Claim Medicaid Reimbursement for Medicare Part B Premiums in Accordance with Federal Requirements
  • Palmetto GBA Claimed Substantially Allowable Costs on Its Part B Final Administrative Cost Proposals for Fiscal Years 2010 and 2011
  • Washington State Claimed a Small Amount of Unallowable Medicaid Reimbursement for Home Health Services That Exceeded the Maximum Allowable Number of Reimbursable Visits
  • National DRG Validation Study Update: Technical Report
  • Durable Medical Equipment Claims Paid by National Heritage Insurance Company, Inc., Did Not Always Meet the Requirements of the Local Coverage Determination for Lower Limb Prostheses
  • Durable Medical Equipment Claims Paid by Noridian Healthcare Solutions, LLC, Did Not Always Meet the Requirements of the Local Coverage Determination for Lower Limb Prostheses
  • Salary and Nonsalary Costs Claimed by the University of Texas Southwestern Medical Center Were Allowable
  • Maryland Claimed Costs for Unallowable Room and Board and Other Residential Habilitation Costs Under Its Community Pathways Waiver Program
  • Wisconsin Improperly Claimed Federal Medicaid Reimbursement for Most Residential Care Center Payments
  • Illinois Did Not Always Properly Claim Medicaid Reimbursement for Hospice Claims
  • New York State Improperly Claimed Medicaid Reimbursement for Some Home Health Services Claims Submitted by Certified Home Health Agencies
  • Indiana Claimed Medicaid Reimbursement for High-Dollar Inpatient Services That Were Unallowable
  • HealthNow New York, Inc., Did Not Claim Some Allowable Medicare Part B Pension Costs for Fiscal Years 2007 Through 2009
  • Colorado Improperly Claimed Some Medicaid Costs for Hospice Services Provided by Evercare Hospice & Palliative Care
  • New York Improperly Claimed Medicaid Reimbursement for Orthodontic Services to Beneficiaries in New York City
  • National Government Services, Inc., Paid Unallowable Lower Limb Prosthetics Claims
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