Reports

• 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.

  

• MEDICARE PAYMENTS FOR DIAGNOSTIC RADIOLOGY SERVICES IN EMERGENCY DEPARTMENTS

  

• Balance Billing for Medical Equipment and Supplies

  

• Review of Resident Data Reported in the Intern and Resident Information System for Medicare Cost Reports Submitted to National Government Services, Inc., and Highmark Medicare Services, Inc.

  

• Medicare Payments for the Same Service by More Than One Carrier 

  

• CONTROLLING EMERGENCY ROOM USE: ST A TE MEDICAID REPORTS

  

• Medicare Antigen Preparation

  

• Use of Modifier 25 

  

• Use of Modifier 59 to Bypass Medicare?s National Correct Coding Initiative Edits

  

• Audit of Group Health Incorporated's Local 153 Pension Plan Unfunded Pension Costs for Plan Years 1987 Through 2007

  

• Physical Therapy Biled by Physicians

  

• Review of Colorado Direct Medical Service and Specialized Transportation Costs for the Medicaid School Health Services Program for State Fiscal Year 2008