Reports

• 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

  

• DRG 121 Validation: Circulatory Disorders

  

• DRG 154 Validation: Stomach, Esophageal, and Duodenal