Reports

• Medicare Advantage Compliance Audit of Specific Diagnosis Codes That California Physicians Service, Inc. (Contract H0504) Submitted to CMS

  

• The Number of Beneficiaries Who Received Medicare Part B Clinical Laboratory Tests Decreased During the First 10 Months of the COVID-19 Pandemic

  

• Operational Challenges Within the Office of Refugee Resettlement and Emergency Intake Site at Fort Bliss Hindered Case Management for Children

  

• During the Initial COVID-19 Response, HHS Personnel Who Interacted With Potentially Infected Passengers Had Limited Protections

  

• CMS Generally Ensured That Medicare Part C and Part D Sponsors Did Not Pay Ineligible Providers for Services to Medicare Beneficiaries

  

• Payments Made to Providers Under the Covid-19 Accelerated and Advance Payments Program Were Generally in Compliance with the CARES Act and Other Federal Requirements

  

• IHS Did Not Always Provide the Necessary Resources and Assistance To Help Ensure That Tribal Programs Complied With All Requirements During Early COVID-19 Vaccination Program Administration

  

• Home Health Agencies Used Multiple Strategies To Respond to the COVID-19 Pandemic, Although Some Challenges Persist

  

• U.S. Department of Health and Human Services Met the Requirements of the Digital Accountability and Transparency Act of 2014, With Areas That Require Improvement

  

• Texas Claimed or May Have Claimed More Than $30 Million of $9.89 Billion in Federal Funds for Medicaid Uncompensated Care Payments That Did Not Meet Federal and State Requirements

  

• Advisory Opinion 22-19

  

• Medicare Advantage Compliance Audit of Specific Diagnosis Codes That HumanaChoice (Contract R5826) Submitted to CMS

  

• Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Highmark Senior Health Company 

  

• UPICs Hold Promise To Enhance Program Integrity Across Medicare and Medicaid, But Challenges Remain

  

• Medicare Advantage Compliance Audit of Diagnosis Codes That Inter Valley Health Plan, Inc.

  

• Medicare Advantage Compliance Audit of Specific Diagnosis Codes That BlueCross BlueShield of Tennessee, Inc. (Contract H7917) Submitted to CMS

  

• Medicare Dialysis Services Provider Compliance Audit - Dialysis Clinic, Inc.

  

• Medicare Hospice Provider Compliance Audit: Hospice of Palm Beach County, Inc.

• End-Stage Renal Disease Network Organizations Reported Actions Taken in Response to the COVID-19 Pandemic

  

• CMS System Edits Significantly Reduced Improper Payments to Acute-Care Hospitals After May 2019 for Outpatient Services Provided to Beneficiaries Who Were Inpatients of Other Facilities