Reports
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Advisory Opinion 22-01
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Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Healthfirst Health Plan, Inc., (Contract H3359) Submitted to CMS
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Noridian Healthcare Solutions, LLC, Understated Its Medicare Segment Pension Assets and Understated Medicare Share of the Medicare Segment Excess Pension Assets as of December 31, 2016
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Noridian Healthcare Solutions, LLC, Did Not Claim Some Allowable Medicare Pension Costs for Calendar Years 2014 Through 2016
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Noridian Healthcare Solutions, LLC, Did Not Claim Some Allowable Medicare Postretirement Benefit Costs Through Its Incurred Cost Proposals for Calendar Years 2014 Through 2016
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Noridian Healthcare Solutions, LLC, Understated Its Medicare Segment Postretirement Benefit Assets as of January 1, 2017
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COVID-19 Tests Drove an Increase in Total Medicare Part B Spending on Lab Tests in 2020, While Use of Non-COVID-19 Tests Decreased Significantly
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Trends in Genetic Tests Provided Under Medicare Part B Indicate Areas of Possible Concern
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Medicare Hospital Provider Compliance Audit: St. Joseph Hospital Health Center
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Many Medicare Beneficiaries Are Not Receiving Medication to Treat Their Opioid Use Disorder
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Advisory Opinion 21-20
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Medicare Could Have Saved Approximately $993 Million in 2017 and 2018 if It Had Implemented an Inpatient Rehabilitation Facility Transfer Payment Policy for Early Discharges to Home Health Agencies
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Medicare Improperly Paid Physicians for Spinal Facet-Joint Denervation Sessions
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Advisory Opinion 21-19
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2021 Fall Semiannual Report to Congress
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Kentucky Made Almost $2 Million in Unallowable Capitation Payments for Beneficiaries With Multiple Medicaid ID Numbers
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CMS Should Strengthen Its Prescription Drug Event Guidance To Clarify Reporting of Sponsor Margin for Medicare Part D Bids
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Facility-Initiated Discharges in Nursing Homes Require Further Attention
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Advisory Opinion 21-18
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Advisory Opinion 21-17