Reports

• Advisory Opinion 16-04

  

• Updated Criteria for Implementing Permissive Exclusion Authority Under Section 1128(b)(7) of the Social Security Act

  

• Inconsistencies in State Implementation of Correct Coding Edits May Allow Improper Medicaid Payments

  

• Some of New Yorks Claims for Medicaid Long-Term Home Health Care Program Waiver Services were Unallowable

  

• Medicare Contractor Payments to Providers for Hospital Outpatient Dental Services in Jurisdiction H Generally Did Not Comply With Medicare Requirements

  

• Medicare Compliance Review of DePaul Health Center for 2012 and 2013

  

• The National Institute of Environmental Health Sciences Generally Administered Its Superfund Appropriations During Fiscal Year 2014 in Accordance With Federal Requirements

  

• The Medicaid Program Could Have Achieved Savings if Oregon Had Applied Medical Loss Ratio Standards Similar to Those Established by the Affordable Care Act

  

• The Ohio AssThe Ohio Association of Foodbanks Generally Complied With the Navigator Requirements Related to the Affordable Care Actociation of Foodbanks Generally Complied With the Navigator Requirements Related to the Affordable Care Act

  

• Compendium of Unimplemented Recommendations April 2016 Edition

  

• Bayview Nursing and Rehabilitation Center Claimed Allowable Hurricane Sandy Disaster Relief Act Funds

  

• Medicare Compliance Review of Saint Louis University Hospital for 2011 and 2012

  

• First Coast Service Options Payments to Providers for Hospital Outpatient Dental Services in Jurisdiction N Generally Did Not Comply With Medicare Requirements

  

• North Carolina Did Not Always Make Correct Medicaid Claim Adjustments

  

• Wyoming Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs

  

• South Carolina Generally Claimed Costs on Behalf of Wateree Community Actions, Inc., That Were in Accordance With the Grants and Applicable Federal Regulations, but Wateree Mismanaged Federal Funds

  

• Termination of OIG Advisory Opinion No. 06-09

  

• Oklahoma State Medicaid Fraud Control Unit: 2014 Onsite Review

  

• Opportunities for Program Improvements Related to States Withdrawals of Federal Medicaid Funds

  

• Hospices Inappropriately Billed Medicare Over $250 Million for General Inpatient Care