Reports

• National DRG Validation Study Update: Summary Report

  

• National Government Services, Inc., Claimed Some Unallowable Medicare Pension Costs for Fiscal Years 2003 Through 2006

  

• Oregon Generally Claimed Federal Medicaid Reimbursement for Money Follows the Person Program Expenditures in Compliance With Federal and State Requirements but Internal Controls Should Be Strengthened

  

• DRG 296 Validation: Metabolic Disorders

  

• DRG 121 Validation: Circulatory Disorders

  

• DRG 154 Validation: Stomach, Esophageal, and Duodenal 

  

• Parkland Health and Hospital System Claimed Unallowable Medicare Reimbursement for Hospital Outpatient Dental Services

  

• DRG 79 Validation Study Update: Respiratory Infections and Inflammations

  

• New York Claimed Some Unallowable Costs for Assistive Technology Services Under the State's Developmental Disabilities Waiver Program

  

• 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