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Reports

  • 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
  • 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
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