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Reports

  • Medicare Compliance Review of Florida Hospital Orlando for the Period January 1, 2011, Through June 30, 2012
  • Missouri Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs
  • Alabama State Medicaid Fraud Control Unit: 2014 Onsite Review
  • Iowa Did Not Always Make Correct Medicaid Adjustments
  • North Carolina Claimed Federal Medicaid Reimbursement for Dental Services That Did Not Always Comply With Federal and State Requirements
  • First Coast Service Options, Inc., Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments
  • Novitas Solutions, Inc. (Formerly Highmark Medicare Services, Inc.), Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments
  • Cahaba Government Benefit Administrators, LLC, Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments
  • Review of the Accounting Structure Used for the Administration of Premium Tax Credits
  • Wisconsin Received Some Unallowable Bonus Payments
  • Texas Claimed Unallowable Federal Reimbursement for Some Family Planning Services
  • Maryland Misallocated Millions to Establishment Grants for a Health Insurance Marketplace
  • SECOND-GENERATION ANTIPSYCHOTIC DRUG USE AMONG MEDICAID-ENROLLED CHILDREN: QUALITY-OF-CARE CONCERNS
  • Medicare Compliance Review of Northwestern Memorial Hospital for 2011 and 2012
  • Some Minnesota Childcare Centers Did Not Always Comply With State Health and Safety Licensing Requirements
  • Some Minnesota Childcare Home Providers Did Not Always Comply With State Health and Safety Licensing Requirements
  • New York State Improperly Claimed Medicaid Reimbursement for Continuous 24-Hour Personal Care Claims in Ulster County
  • Oregon Did Not Bill Manufacturers for Rebates for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations
  • New York State Improperly Claimed Medicaid Reimbursement for Continuous 24-Hour Personal Care Claims
  • Medicare Could Have Saved Billions at Critical Access Hospitals If Swing-Bed Services Were Reimbursed Using the Skilled Nursing Facility Prospective Payment System Rates
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