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Reports

  • Foreign Assistance to Combat HIV/AIDS, Tuberculosis, and Malaria Fiscal Year 2021 Inspectors General Coordinated PEPFAR Oversight Plan U.S. Department of Health and Human Services, Office of Inspector General
  • Texas Relied on Impermissible Provider-Related Donations To Fund the State Share of the Medicaid Delivery System Reform Incentive Payment Program
  • Medicare Contractors Were Not Consistent in How They Reviewed Extrapolated Overpayments in the Provider Appeals Process
  • CMS Encounter Data Lack Essential Information That Medicare Advantage Organizations Have the Ability to Collect
  • Indiana Properly Reported Adjustments Related to the Drug Rebate Program
  • Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2018 Average Sales Prices.
  • Medicare Home Health Agency Provider Compliance Audit: Mission Home Health of San Diego, Inc.
  • Opioid Use in Medicare Part D Continued To Decline in 2019, but Vigilance Is Needed as COVID-19 Raises New Concerns
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  • Medicare Laboratory Test Expenditures Increased in 2018, Despite New Rate Reductions
  • Medicare Home Health Agency Provider Compliance Audit: Condado Home Care Program, Inc.
  • Visionquest Industries, Inc.: Audit of Medicare Payments for Orthotic Braces
  • Desoto Home Health Care, Inc.: Audit of Medicare Payments for Orthotic Braces
  • Inadequate Edits and Oversight Caused Medicare To Overpay More Than $267 Million for Hospital Inpatient Claims With Post-Acute-Care Transfers to Home Health Services
  • North Carolina Did Not Ensure That Nursing Facilities Always Reported Allegations of Potential Abuse and Neglect of Medicaid Beneficiaries and Did Not Always Prioritize Allegations Timely
  • The New York State Medicaid Agency Made Capitation Payments to Managed Care Organizations After Beneficiaries Deaths
  • On-Site Psychological Services, P.C.: Audit of Medicare Payments for Psychotherapy Services
  • 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
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