Reports

• Advisory Opinion 22-04

  

• Hospitals Did Not Always Meet Differing Medicare Contractor Specifications for Bariatric Surgery

• Office of Inspector General Partnership With the Oregon Secretary of State Audits Division: Oregon Health Authority-Timely Notification of Inpatient Hospital Stays Could Help Reduce Improper Medicaid Payments

  

• Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Tufts Health Plan (Contract H2256) Submitted to CMS

  

• Medicare Payments of $6.6 Billion to Nonhospice Providers Over 10 Years for Items and Services Provided to Hospice Beneficiaries Suggest the Need for Increased Oversight

  

• Advisory Opinion 22-03

  

• Advisory Opinion 22-02

  

• Medicare Advantage Compliance Audit of Diagnosis Codes That SCAN Health Plan (Contract H5425) Submitted to CMS

  

• Prior Audits of Medicaid Eligibility Determinations in Four States Identified Millions of Beneficiaries Who Did Not or May Not Have Met Eligibility Requirements

  

• The Assistant Secretary for Administration Awarded and Managed Five Sole Source Contracts for COVID-19 Testing in Accordance With Federal and Contract Requirements

  

• Advisory Opinion 22-01

  

• Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Healthfirst Health Plan, Inc., (Contract H3359) Submitted to CMS

  

• 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

  

• Noridian Healthcare Solutions, LLC, Did Not Claim Some Allowable Medicare Pension Costs for Calendar Years 2014 Through 2016

  

• Noridian Healthcare Solutions, LLC, Did Not Claim Some Allowable Medicare Postretirement Benefit Costs Through Its Incurred Cost Proposals for Calendar Years 2014 Through 2016

  

• Noridian Healthcare Solutions, LLC, Understated Its Medicare Segment Postretirement Benefit Assets as of January 1, 2017

  

• 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

  

• Trends in Genetic Tests Provided Under Medicare Part B Indicate Areas of Possible Concern

  

• Medicare Hospital Provider Compliance Audit: St. Joseph Hospital Health Center

  

• Many Medicare Beneficiaries Are Not Receiving Medication to Treat Their Opioid Use Disorder