Reports
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Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the First Quarter of 2021
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Medicare Paid New Hospitals Three Times More for Their Capital Costs Than They Would Have Been Paid Under the Inpatient Prospective Payment System
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Missouri Claimed Federal Reimbursement for $3.4 Million in Payments to Health Home Providers That Did Not Meet Medicaid Requirements
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Companion Data Services, LLC, Claimed Some Unallowable Medicare Excess Plan Costs Through Its Incurred Cost Proposals
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Medicare Continues To Make Overpayments for Chronic Care Management Services, Costing the Program and Its Beneficiaries Millions of Dollars
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Advisory Opinion 21-10
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State Backlogs of Standard Surveys of Nursing Homes Grew Substantially During the COVID-19 Pandemic
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New York Improperly Claimed $439 Million In Medicaid Funds for Its School-Based Health Services Based on Certified Public Expenditures
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Review of Medicare Administrative Contractor Information Security Program Evaluations for Fiscal Year 2020
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Audit of Medicare Part D Pharmacy Fees: Group Health Cooperative, Inc.
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Medicare Hospice Provider Compliance Audit: Partners In Care, Inc.
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Medicare Hospice Provider Compliance Audit: Mission Hospice & Home Care, Inc.
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Medicare Hospital Provider Compliance Audit: Lake Hospital System
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The Centers for Medicare & Medicaid Services Did Not Account for National Security Risks in Its Enterprise Risk Management Processes
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Medicare Payments for Transitional Care Management Services Generally Complied With Federal Requirements, but Some Overpayments Were Made
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New Yorks Claims for Federal Reimbursement for Payments to Health Home Providers on Behalf of Beneficiaries Diagnosed With Serious Mental Illness or Substance Use Disorder Generally Met Medicaid Requirements But It Still Made $6 Million in Improper Payments to Some Providers
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Advisory Opinion 21-07
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Advisory Opinion 21-06
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Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2021
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Medicare Hospital Provider Compliance Audit: Staten Island University Hospital