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Reports

  • Texas Generally Claimed Medicaid Reimbursement for Fee-for-Service Inpatient Hospital Claims With Malnutrition Diagnosis Codes in Accordance with Federal and State Requirements
  • Selected Home Health Agencies Complied With Terms and Conditions and Federal Requirements for Provider Relief Fund Payments
  • Puerto Rico Did Not Designate a Medicaid Contracts Oversight Lead in a Timely Manner and Certified Contracts That Were Noncompliant
  • CDC’s and SAMHSA’s Processes for and Challenges With Compiling Data for the National Drug Control Assessment
  • The Office for Civil Rights Should Enhance Its HIPAA Audit Program to Enforce HIPAA Requirements and Improve the Protection of Electronic Protected Health Information
  • Review of the Department of Health and Human Services Compliance with the Federal Information Security Modernization Act of 2014 for Fiscal Year 2024
  • Medicare Improperly Paid Acute-Care Hospitals an Estimated $190 Million Over 5 Years for Outpatient Services Provided to Hospice Enrollees
  • Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Second Quarter of 2024
  • Washington State’s Oversight Could Better Ensure That Adult Family Homes Comply With Health and Safety and Administrative Requirements
  • Utah Generally Operated Its Medicaid Estate Recovery Program in Accordance With Requirements and in a Cost Effective Manner, but Utah Did Not Have Formal Written Procedures
  • Maine Did Not Comply With Screening, Assessment, and Investigation Requirements for Responding to Reports of Child Abuse and Neglect
  • Seven of Thirty Hospices Reviewed Did Not Comply or May Not Have Complied With Terms and Conditions and Federal Requirements for Provider Relief Fund Payments
  • National Government Services, Inc., Reopened and Corrected Cost Report Final Settlements With Obvious Errors To Collect Overpayments Made to Medicare Providers
  • Maine Did Not Comply With Screening, Assessment, and Investigation Requirements for Responding to Reports of Child Abuse and Neglect
  • Not All Selected Hospitals Complied With the Hospital Price Transparency Rule
  • National Background Check Program for Long-Term Care Providers: A Final Assessment
  • ASPR Established Adequate Controls for Maintaining Physical Security and Inventory Records at Stockpile Site B
  • California Used CARES Act Funds for Unallowable Nutrition Services Program Expenditures
  • Massachusetts Could Better Ensure That Intermediate Care Facilities for Individuals With Intellectual Disabilities Comply With Federal Requirements for Life Safety and Emergency Preparedness
  • Medicare Advantage Questionable Use of Health Risk Assessments Continues To Drive Up Payments to Plans by Billions
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