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Reports

  • DRG 121 Validation: Circulatory Disorders
  • DRG 154 Validation: Stomach, Esophageal, and Duodenal 
  • Parkland Health and Hospital System Claimed Unallowable Medicare Reimbursement for Hospital Outpatient Dental Services
  • DRG 79 Validation Study Update: Respiratory Infections and Inflammations
  • New York Claimed Some Unallowable Costs for Assistive Technology Services Under the State's Developmental Disabilities Waiver Program
  • Maryland Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs
  • Using Software to Detect Upcoding of Hospital Bills
  • Noridian Healthcare Solutions, LLC, Inappropriately Paid Hospitals' Medicare Claims Subject to the Postacute Care Transfer Policy in Jurisdiction 2
  • Oregon Claimed Some Potentially Unallowable Community Services Block Grant Costs for Multnomah County's Expenditures Under the Recovery Act
  • Hawaii Did Not Comply With Some Provisions of the QUEST Expanded Medicaid Demonstration Project When Determining Eligibility for Federal Reimbursement of Uncompensated Care Costs
  • Monitoring the Accuracy of Hospital Coding 
  • Illinois Claimed Potentially Unallowable Community Services Block Grant Costs for Community Action Partnership of Central Illinois' Expenditures Under the Recovery Act
  • Medicare Payments for DRG 475: Respiratory System Diagnosis with Ventilator Support
  • Georgia Did Not Pay Some Line Items on Medicaid Claims in Accordance With Its Medicaid National Correct Coding Initiative Methodologies
  • Medicare Payments for Septicemia
  • Neighborhood House Association Claimed Allowable Head Start Costs but Did Not Maintain Adequate Internal Controls Related to Personnel, Facilities, and Subcontracts
  • Kentucky Did Not Correctly Calculate Payment Rates for Private Facilities or Report Cost Settlement Adjustments to CMS
  • Noridian Healthcare Solutions, LLC, Overstated Its Allocable Pension Costs for Calendar Years 2006 Through 2010
  • Medicare Payments for DRG 296: Nutritional and Miscellaneous Metabolic Disorders
  • Noridian Healthcare Solutions, LLC, Claimed Some Unallowable Medicare Pension Costs for Fiscal Years 2006 Through 2010
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