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Reports

  • Tennessee Medicaid Claimed Hundreds of Millions of Federal Funds for Certified Public Expenditures That Were Not in Compliance With Federal Requirements
  • More Than One-Third of Medicaid-Enrolled Children in Five States Did Not Receive Required Blood Lead Screening Tests
  • Most Medicare beneficiaries received telehealth services only from providers with whom they had an established relationship
  • Changes Made to States Medicaid Programs To Ensure Beneficiary Access to Prescriptions During the COVID-19 Pandemic
  • Minnesota Medicaid Managed Care Entities Used a Majority of Medicaid Funds Received for Medical Expenses and Quality Improvement Activities
  • Medicare Overpaid $636 Million for Neurostimulator Implantation Surgeries
  • Advisory Opinion 21-14
  • Advisory Opinion 21-13
  • High-expenditure Medicare drugs often qualified for Orphan Drug Act incentives designed to encourage the development of treatments for rare diseases
  • Advisory Opinion 21-12
  • An Ophthalmology Clinic in Florida: Audit of Medicare Payments for Eye Injections of Avastin, Eylea, and Lucentis
  • Colorado Did Not Invoice Rebates to Manufacturers for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations
  • CMS COVID-19 Data Included Required Information From the Vast Majority of Nursing Homes, but CMS Could Take Actions To Improve Completeness and Accuracy of the Data
  • Medicare Beneficiaries Hospitalized With COVID-19 Experienced a Wide Range of Serious, Complex Conditions
  • Oklahoma Oversight of Medicaid Outpatient Services for Opioid Use Disorder Was Generally Effective
  • Medicare Home Health Agency Provider Compliance Audit: Catholic Home Care
  • Advisory Opinion 21-11
  • Medicare Hospital Provider Compliance Audit: Jewish Hospital
  • CGS Administrators, LLC, Claimed Some Unallowable Medicare Pension Costs Through Its Incurred Cost Proposals
  • CGS Administrators, LLC, Claimed Some Unallowable Medicare Supplemental Executive Retirement Plan III Costs Through Its Incurred Cost Proposals
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