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Reports

  • "Maryland Improperly Claimed Personal Care Services Provided Under Its Medicaid Home and Community-Based Services Waiver for Older Adults "
  • Tennessee Incorrectly Reported Costs for Individuals With Intellectual and Developmental Disabilities
  • MedEnvios Healthcare, Inc., Submitted Claims for Diabetic Testing Supplies Without the KL Modifier in Accordance With Medicare Billing Requirements
  • Maine Improperly Claimed Medicaid Payments for School-Based Health Services Submitted by Portland School Department
  • Triple-S Salud Did Not Claim Some Allowable Pension Costs for Fiscal Years 2007 Through 2009
  • Illinois Significantly Reduced Medicaid Costs for Home Blood-Glucose Test Strips But Could Achieve Additional Reductions
  • National Government Services Claimed Allowable Administrative Costs for Fiscal Years 2008 and 2009 Under Medicare Contract 00630
  • Palmetto GBA, LLC, Inappropriately Paid Hospitals' Medicare Claims Subject to the Postacute Care Transfer Policy in Jurisdiction 1
  • Indiana Improperly Claimed Federal Reimbursement for Most Medicaid Inpatient Psychiatric Hospital Service and Disproportionate Share Hospital Payments to Evansville Psychiatric Children\'s Center
  • Blue Cross Blue Shield of Georgia Did Not Claim Some Allowable Medicare Pension Costs for Fiscal Years 2006 Through 2009
  • Anthem Health Plans of Maine, Inc., Did Not Claim Some Allowable Medicare Pension Costs for Fiscal Years 2003 Through 2005
  • Anthem Health Plans of New Hampshire, Inc., Did Not Claim Some Allowable Medicare Pension Costs for Fiscal Years 2003 Through 2005
  • Wisconsin Claimed Medicaid Reimbursement for High-Dollar Inpatient Services That Were Unallowable
  • Spectrum Rehabilitation, LLC, Claimed Unallowable Medicare Part B Reimbursement for Outpatient Therapy Services
  • National DRG Validation Study: Short Hospitalizations
  • Missouri Did Not Always Correctly Claim Costs for Medicaid Family Planning Sterilization Procedures for Calendar Years 2009 and 2010
  • National Government Services Claimed Allowable Administrative Costs for Fiscal Years 2008 and 2009 under Medicare Contract 00450
  • DRG 89: Simple Pneumonia and Pleurisy 
  • DRG 416: Septicemia
  • Indiana Improperly Claimed Federal Reimbursement for All Reviewed Medicaid Inpatient Psychiatric Hospital Service Payments to Evansville State Hospital
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