Reports

• National Government Services Inc Understated Its Plan A Medicare Segment Pension Assets and Overstated Medicares Share of the Medicare Segment Excess Pension Liabilities as of December 31 2018

  

• CMS Should Bolster Its Oversight of Manufacturer-Submitted Average Sales Price Data To Ensure Accurate Part B Drug Payments

  

• Manufacturers May Need Additional Guidance To Ensure Consistent Average Sales Price Calculations

  

• National Government Services, Inc., Claimed Some Unallowable Medicare Nonqualified Plan Costs Through Its Incurred Cost Proposals

  

• National Government Services, Inc., Claimed Some Unallowable Medicare Postretirement Benefit Plan Costs Through Its Incurred Cost Proposals

  

• Mandated Analysis of Home Health Service Utilization From January 2016 Through March 2022

  

• Keystone First Should Improve Its Procedures for Reviewing Service Requests That Require Prior Authorization

  

• Sierra Vista Regional Medical Center and Twin Cities Community Hospital

  

• JASDEEP SIDANA, M.D., DOCS MEDICAL GROUP, INC. D/B/A DOCS MEDICAL,DOCS MEDICAL INC., DOCS URGENT CARE LLP, LUNG DOCS OF CT, P.C., EPIC FAMILY PHYSICIANS, LLP, AND CONTINUUM MEDICAL GROUP, LLC

  

• Labs With Questionably High Billing for Additional Tests Alongside COVID-19 Tests Warrant Further Scrutiny

  

• The Centers for Medicare & Medicaid Services Review Contractor Did Not Document Medicaid Managed Care Payment Review Determinations Made Under the Payment Error Rate Measurement Program

  

• Insights on Telehealth Use and Program Integrity Risks Across Selected Health Care Programs During the Pandemic

  

• Fall 2022 Semiannual Report to Congress

  

• Medicare Improperly Paid Physicians for Co-Surgery and Assistant-at-Surgery Services That Were Billed Without the Appropriate Payment Modifiers

  

• National Government Services, Inc., Accurately Calculated Hospice Cap Amounts but Did Not Collect All Cap Overpayments

  

• Medicare Providers Did Not Always Comply With Federal Requirements When Billing for Advance Care Planning

  

• Medicare Advantage Compliance Audit of Specific Diagnosis Codes That BCBS of Rhode Island (Contract H4152) Submitted to CMS

  

• The Centers for Medicare & Medicaid Services Review Contractors Generally Conducted Medicaid Fee-for-Service Claim Reviews for Selected States Under the Payment Error Rate Measurement Program in Accordance with Federal and State Requirements

  

• Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Second Quarter of 2022

  

• Long-Term Trends of Psychotropic Drug Use in Nursing Homes