Reports

• 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

  

• 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