Reports

• Medicare Hospice Provider Compliance Audit: Mission Hospice & Home Care, Inc.

  

• Medicare Hospital Provider Compliance Audit: Lake Hospital System

  

• The Centers for Medicare & Medicaid Services Did Not Account for National Security Risks in Its Enterprise Risk Management Processes

  

• Medicare Payments for Transitional Care Management Services Generally Complied With Federal Requirements, but Some Overpayments Were Made

  

• New Yorks Claims for Federal Reimbursement for Payments to Health Home Providers on Behalf of Beneficiaries Diagnosed With Serious Mental Illness or Substance Use Disorder Generally Met Medicaid Requirements But It Still Made $6 Million in Improper Payments to Some Providers

  

• Advisory Opinion 21-07

  

• Advisory Opinion 21-06

  

• Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2021

• Medicare Hospital Provider Compliance Audit: Staten Island University Hospital

  

• Kentucky Claimed Millions in Unallowable School-Based Medicaid Administrative Costs

  

• Medicare Hospice Provider Compliance Audit: Northwest Hospice, LLC

  

• Medicare Lacks Consistent Oversight of Cybersecurity for Networked Medical Devices in Hospitals

  

• COVID-19 Had a Devastating Impact on Medicare Beneficiaries in Nursing Homes During 2020

  

• Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2019 Average Sales Prices

  

• California Did Not Ensure That Nursing Facilities Always Reported Incidents of Potential Abuse or Neglect of Medicaid Beneficiaries and Did Not Always Prioritize Allegations Properly

  

• Medicare Hospice Provider Compliance Audit: Professional Healthcare at Home, LLC

  

• Opportunities Exist for CMS and Its Medicare Contractors To Strengthen Program Safeguards To Prevent and Detect Improper Payments for Drug Testing Services

  

• University of Michigan Health System: Audit of Medicare Payments for Polysomnography Services

  

• New Mexico Did Not Bill Manufacturers for Some Rebates for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations

  

• Medicare Home Health Agency Provider Compliance Audit: Caretenders of Jacksonville, LLC