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Reports

  • Missouri Did Not Always Correctly Claim Costs for Medicaid Family Planning Sterilization Procedures for Calendar Years 2009 and 2010
  • National Government Services Claimed Allowable Administrative Costs for Fiscal Years 2008 and 2009 under Medicare Contract 00450
  • DRG 89: Simple Pneumonia and Pleurisy 
  • DRG 416: Septicemia
  • Indiana Improperly Claimed Federal Reimbursement for All Reviewed Medicaid Inpatient Psychiatric Hospital Service Payments to Evansville State Hospital
  • DRG 154: Stomach, Esophageal, and Duodenal Procedures 
  • DRG 121: Circulatory Disorders with Acute Myocardial Infarction and Cardiovascular Complications
  • Missouri Improperly Claimed Federal Reimbursement for Most Reviewed Medicaid Inpatient Psychiatric Hospital Service and Disproportionate Share Hospital Payments to Hawthorn Children's Psychiatric Hospital
  • DRG 87: Pulmonary Edema and Respiratory Failure
  • National DRG Validation Study: Quality of Patient Care in Hospitals 
  • Meritus Medical Center Refunded Overpayments for Physician Claims With Place-of-Service Coding Errors For 2009 Through 2012
  • DRG 79: Respiratory Infection 
  • California Improperly Claimed Enhanced Federal Reimbursement for Medicaid Family Planning Drugs and Supplies Provided in San Diego County
  • DRG 468: Unrelated Operating Room Procedures
  • Missouri Claimed Unallowable Medicaid Payments for Individuals With Intellectual and Developmental Disabilities in Intermediate Care Facilities
  • FY 1985 National DRG Validation Study: Peer Review Organization Coding Accuracy
  • DRG 14 Validation Update: Specific Cerebrovascular Disorders Except Transient Ischemic Attacks
  • The New York State Manufacturer Rebate Program Significantly Reduced Medicaid Costs for Home Blood-Glucose Test Strips But Could Achieve Additional Reductions
  • CGS Administrators, LLC, Paid Unallowable Lower Limb Prosthetics Claims
  • National Government Services Claimed Allowable Administrative Costs for Fiscal Years 2008 and 2009 under Medicare Contract 00130
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