Reports

• Applying the National Correct Coding Initiative to Medicaid Services

  

• Consultations in Medicare: Coding and Reimbursement 

  

• West Virginia Improperly Claimed Some Personal Care Services Under Its Medicaid State Plan

  

• New Hampshire Did Not Always Correctly Claim Medicaid Payments for School-Based Transportation Services

  

• Validation of DRG 14

  

• National DRG Validation Study: Premature Discharges

  

• National DRG Validation Study: Coding Accuracy 

  

• Blue Cross Blue Shield of Tennessee Did Not Claim Some Allowable Restoration Supplemental Executive Retirement Plan Costs for Fiscal Years 2008 and 2009

  

• National DRG Validation Study: Unnecessary Admissions to Hospitals 

  

• The New Jersey Department of Human Services Claimed Medicaid Disproportionate Share Hospital Payments to Five Hospitals That Did Not Meet Federal Eligibility Requirements

  

• New York Improperly Claimed Medicaid Reimbursement for Some Home Health Services Claims Submitted by Certified Home Health Agencies in New York City

  

• Massachusetts Generally Implemented Recommendations From Prior Review of Claims for Hospital Outpatient Clinical Laboratory Services

  

• Pennsylvania Claimed Unallowable Medicaid Administrative Costs for the Regional Housing Coordinator Initiative

  

• The Chicago Regional Council of Carpenters Welfare Fund Properly Claimed Early Retiree Reinsurance Program Reimbursements

  

• The UAW Retiree Medical Benefits Trust Properly Claimed Early Retiree Reinsurance Program Reimbursements

  

• California Improperly Claimed Enhanced Federal Reimbursement for Medicaid Family Planning Services Provided in San Diego County

  

• Lower Limb Prosthetics Claims Paid to Premier Prosthetics and Orthotics Were Not Always Supported by Adequate Documentation

  

• TrailBlazer Claimed Medicare Part B Administrative Costs in Accordance With Federal Requirements

  

• Neighborhood Diabetes, Inc., Submitted Claims for Diabetic Testing Supplies Without the KL Modifier in Accordance With Medicare Billing Requirements

  

• Arkansas Generally Supported Its Claim for Federal Medicaid Reimbursement