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Reports

  • New Jersey Did Not Always Claim Medicaid Reimbursement for Medicare Part B Premiums in Accordance with Federal Requirements
  • Palmetto GBA Claimed Substantially Allowable Costs on Its Part B Final Administrative Cost Proposals for Fiscal Years 2010 and 2011
  • Washington State Claimed a Small Amount of Unallowable Medicaid Reimbursement for Home Health Services That Exceeded the Maximum Allowable Number of Reimbursable Visits
  • National DRG Validation Study Update: Technical Report
  • Durable Medical Equipment Claims Paid by National Heritage Insurance Company, Inc., Did Not Always Meet the Requirements of the Local Coverage Determination for Lower Limb Prostheses
  • Durable Medical Equipment Claims Paid by Noridian Healthcare Solutions, LLC, Did Not Always Meet the Requirements of the Local Coverage Determination for Lower Limb Prostheses
  • Salary and Nonsalary Costs Claimed by the University of Texas Southwestern Medical Center Were Allowable
  • Maryland Claimed Costs for Unallowable Room and Board and Other Residential Habilitation Costs Under Its Community Pathways Waiver Program
  • Wisconsin Improperly Claimed Federal Medicaid Reimbursement for Most Residential Care Center Payments
  • Illinois Did Not Always Properly Claim Medicaid Reimbursement for Hospice Claims
  • New York State Improperly Claimed Medicaid Reimbursement for Some Home Health Services Claims Submitted by Certified Home Health Agencies
  • Indiana Claimed Medicaid Reimbursement for High-Dollar Inpatient Services That Were Unallowable
  • HealthNow New York, Inc., Did Not Claim Some Allowable Medicare Part B Pension Costs for Fiscal Years 2007 Through 2009
  • Colorado Improperly Claimed Some Medicaid Costs for Hospice Services Provided by Evercare Hospice & Palliative Care
  • New York Improperly Claimed Medicaid Reimbursement for Orthodontic Services to Beneficiaries in New York City
  • National Government Services, Inc., Paid Unallowable Lower Limb Prosthetics Claims
  • National DRG Validation Study Update: Summary Report
  • National Government Services, Inc., Claimed Some Unallowable Medicare Pension Costs for Fiscal Years 2003 Through 2006
  • Oregon Generally Claimed Federal Medicaid Reimbursement for Money Follows the Person Program Expenditures in Compliance With Federal and State Requirements but Internal Controls Should Be Strengthened
  • DRG 296 Validation: Metabolic Disorders
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