Reports

• Tennessees Monitoring Ensured Compliance With Criminal Background Check Requirements at 28 of the 30 Childcare Providers Reviewed

  

• Advisory Opinion 20-02

  

• Pennsylvania Did Not Fully Comply With Federal and State Requirements for Reporting and Monitoring Critical Incidents Involving Medicaid Beneficiaries With Developmental Disabilities

  

• CMS Controls Over Assigning Medicare Beneficiary Identifiers and Mailing New Medicare Cards Were Generally Effective but Could Be Improved in Some Areas

  

• New York Improperly Claimed Medicaid Reimbursement for Some Bridges to Health Waiver Program Services That Were Not in Accordance With an Approved Plan of Care and Did Not Meet Documentation Requirements

  

• Advisory Opinion 20-01

  

• CMS Made an Estimated $93.6 Million in Incorrect Medicare Electronic Health Record Incentive Payments to Acute-Care Hospitals, or Less Than 1 Percent of $10.8 Billion in Total Incentive Payments

  

• Medicare Home Health Agency Provider Compliance Audit: Palos Community Hospital Home Health Agency

  

• Medicare Hospital Provider Compliance Audit: Texas Health Presbyterian Hospital Dallas

  

• Billions in Estimated Medicare Advantage Payments From Chart Reviews Raise Concerns

  

• Medicare Hospital Provider Compliance Audit: St. Vincent Hospital

  

• Medicare Hospital Provider Compliance Audit: Carolinas Hospital

  

• Medicare Hospital Provider Compliance Audit: Northwest Medical Center

  

• Hospitals Received Millions in Excessive Outlier Payments Because CMS Limits the Reconciliation Process

  

• Cahaba Safeguard Administrators, LLC, Properly Updated the Medicare Segment Pension Assets as of January 1, 2017

  

• Cahaba Government Benefits Administrators, LLC, Overstated Its Medicare Segment Pension Assets as of January 1, 2017

  

• Medicare Made Hundreds of Thousands of Dollars in Overpayments for Chronic Care Management Services

  

• Noridian Healthcare Solutions, LLC, Claimed Some Unallowable Medicare Pension CostsTitle

  

• Noridian Healthcare Solutions, LLC, Understated Its Medicare Segment Pension Assets

  

• Medicare Improperly Paid Acute-Care Hospitals $54.4 Million for Inpatient Claims Subject to the Post-Acute-Care Transfer Policy