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Reports

  • Alaska Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs
  • CMS Could Have Saved $192 Million by Targeting Home Health Claims for Review With Visits Slightly Above the Threshold That Triggers a Higher Medicare Payment
  • Advisory Opinion 20-04
  • CMS Did Not Administer and Manage Strategic Communications Services Contracts in Accordance With Federal Requirements
  • Hospitals Overbilled Medicare $1 Billion by Incorrectly Assigning Severe Malnutrition Diagnosis Codes to Inpatient Hospital Claims
  • Medicaid Data Can Be Used To Identify Instances of Potential Child Abuse or Neglect
  • Texas Did Not Fully Comply With Federal and State Requirements for Reporting and Monitoring Critical Incidents Involving Medicaid Beneficiaries With Developmental Disabilities
  • Advisory Opinion 20-03
  • Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2020
  • Unaccompanied Alien Children Program Care Provider Facilities Do Not Include All Required Security Measures in Their Checklists
  • Texas Telemedicine Services Were Provided in Accordance with State Requirements
  • Medicare Hospital Provider Compliance Audit: The Ohio State University Hospital
  • New Jersey Did Not Ensure That Its Managed Care Organizations Adequately Assessed and Covered Medicaid Beneficiaries Needs for Long-Term Services and Supports
  • Spring 2020 Semiannual Report to Congress
  • OIG Strategic Plan: Oversight of COVID-19 Response and Recovery
  • HHS OIG Toolkits for Calculating Opioid Levels and Identifying Patients At Risk of Misuse or Overdose
  • Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look
  • Medicare Made $11.7 Million in Overpayments for Nonphysician Outpatient Services Provided Shortly Before or During Inpatient Stays
  • Selected Health Care Coalitions Increased Involvement in Whole Community Preparedness But Face Developmental Challenges Following New Requirements in 2017
  • Grand Desert Psychiatric Services: Audit of Medicare Payments for Psychotherapy Services
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