Reports

• Review of Medicare Administrative Contractor Information Security Program Evaluations for Fiscal Year 2021

  

• Certain Nursing Homes May Not Have Complied With Federal Requirements for Infection Prevention and Control and Emergency Preparedness

  

• CMS Reported Collecting Just Over Half of the $498 Million in Medicare Overpayments Identified by OIG Audits

  

• Medicare Critical Care Services Provider Compliance Audit: Lahey Clinic, Inc.

  

• Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Cariten Health Plan, Inc., (Contract H4461) Submitted to CMS

  

• Audits of Nursing Home Life Safety and Emergency Preparedness in Eight States Identified Noncompliance With Federal Requirements and Opportunities for the Centers for Medicare & Medicaid Services to Improve Resident, Visitor, and Staff Safety

  

• CDC Found Ways To Use Data To Understand and Address COVID-19 Health Disparities, Despite Challenges With Existing Data

  

• Medicare Hospice Provider Compliance Audit: Vitas Healthcare Corporation of Florida

  

• The Reduced Outlier Threshold Applied to Transfer Claims Did Not Significantly Increase Medicare Payments to Hospitals

  

• Advisory Opinion 22-15

  

• The Centers for Medicare & Medicaid Services Had Policies and Procedures in Place To Mitigate Vulnerabilities in a Timely Manner, but Improvements Are Needed

  

• Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2022

  

• Advisory Opinion 22-14

  

• More Than 90 Percent of the New Hampshire Managed Care Organization and Fee-for-Service Claims for Opioid Treatment Program Services Did Not Comply With Medicaid Requirements

  

• An Estimated 91 Percent of Nursing Home Staff Nationwide Received the Required COVID-19 Vaccine Doses, and an Estimated 56 Percent of Staff Nationwide Received a Booster Dose

  

• Office of Refugee Resettlement Influx Care Facility and Emergency Intake Sites Did Not Adequately Safeguard Unaccompanied Children From COVID-19

  

• Advisory Opinion 22-13

  

• Inaccuracies in Medicare Race and Ethnicity Data Hinder the Ability To Assess Health Disparities

  

• Maine Implemented Our Prior Audit Recommendations and Generally Complied With Federal and State Requirements for Reporting and Monitoring Critical Incidents

  

• Medicare and Beneficiaries Paid Substantially More to Provider-Based Facilities in Eight Selected States in Calendar Years 2010 Through 2017 Than They Paid to Freestanding Facilities in the Same States for the Same Type of Services