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Reports

  • Advisory Opinion 21-20
  • 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
  • Medicare Improperly Paid Physicians for Spinal Facet-Joint Denervation Sessions
  • Advisory Opinion 21-19
  • 2021 Fall Semiannual Report to Congress
  • Kentucky Made Almost $2 Million in Unallowable Capitation Payments for Beneficiaries With Multiple Medicaid ID Numbers
  • CMS Should Strengthen Its Prescription Drug Event Guidance To Clarify Reporting of Sponsor Margin for Medicare Part D Bids
  • Facility-Initiated Discharges in Nursing Homes Require Further Attention
  • Advisory Opinion 21-18
  • Advisory Opinion 21-17
  • Missouri Properly Converted Provisionally Enrolled Medicaid Providers to Permanent Providers
  • Medicare Improperly Paid Suppliers an Estimated $117 Million Over 4 Years for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Provided to Hospice Beneficiaries
  • Characteristics of Separated Children in ORRs Care: June 27, 2018–November 15, 2020
  • Advisory Opinion 21-16
  • Advisory Opinion 21-15
  • The District of Columbia Monitoring Did Not Ensure Child Care Provider Compliance With Criminal Background Check Requirements at 7 of 30 Providers Reviewed
  • Medicare Advantage Compliance Audit of Specific Diagnosis Codes That UPMC Health Plan, Inc. (Contract H3907) Submitted to CMS
  • Michigan Did Not Report Calendar Year 2019 Medicaid Third-Party Liability Cost Avoidance Data to the Centers for Medicare & Medicaid Services
  • Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Coventry Health Care of Missouri, Inc. (Contract H2663) Submitted to CMS
  • Office of Inspector General Partnership With the Commonwealth of Massachusetts Office of the State Auditor: Office of Medicaid (MassHealth) - Payments for Hospice-Related Services for Dual-Eligible Members
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