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Reports

  • Metropolitan Jewish Home Care, Inc., Billed for Home Health Services That Did Not Comply with Medicare Requirements
  • Massachusetts Did Not Ensure Its Managed-Care Organizations Complied With Requirements Prohibiting Medicaid Payments for Services Related to Provider-Preventable Conditions
  • Excella HomeCare Billed for Home Health Services That Did Not Comply With Medicare Coverage and Payment Requirements
  • EHS Home Health Care Service, Inc., Billed for Home Health Services That Did Not Comply With Medicare Coverage and Payment Requirements
  • New Jersey Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs
  • Using Health IT for Care Coordination: Insights from Six Medicare Accountable Care Organizations
  • Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Fourth Quarter of 2018
  • U.S. Department of Health and Human Services Met Many Requirements of the Improper Payments Information Act of 2002 but Did Not Fully Comply for Fiscal Year 2018
  • California Medicaid Managed Care Organizations Received Capitation Payments After Beneficiaries Deaths
  • Medicaid Could Save Hundreds of Millions by Excluding Authorized Generic Drug Transactions to Secondary Manufacturers from Brand Name Drugs Average Manufacturer Price Calculations
  • Some Diagnosis Codes That Essence Healthcare, Inc., Submitted to CMS Did Not Comply With Federal Requirements
  • National Background Check Program for Long Term Care Providers: Assessment of State Programs Concluded Between 2013 and 2016
  • Review of the Department of Health and Human Services Compliance with the Federal Information Security Modernization Act of 2014 for Fiscal Year 2018
  • Washington State Made Progress Toward Achieving Program Goals for Enhancing Its Prescription Drug Monitoring Program
  • Concerns About Opioid Use in Medicare Part D in the Appalachian Region
  • Indiana Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs
  • Fiscal Year 2019 Inspectors General Coordinated Oversight Plan
  • New Jersey Did Not Provide Adequate Oversight of Its Medicaid Delivery System Reform Incentive Payment Program
  • New York Did Not Provide Adequate Stewardship of Substance Abuse Prevention and Treatment Block Grant Funds
  • Michigan Disbursed Only Part of Its Civil Money Penalty Collections, Limiting Resources To Protect or Improve Care for Nursing Facility Residents
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