Reports
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Advisory Opinion 21-02
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Louisiana Appropriately Claimed Most Balancing Incentive Payment Program Funds
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Medicare Advantage Compliance Audit of Diagnosis Codes That Humana, Inc., (Contract H1036) Submitted to CMS
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Blue Cross Blue Shield of South Carolina Overstated Its Supplemental Executive Retirement Plan III Medicare Allowable Segment Pension Assets as of January 1, 2017
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Palmetto Government Benefits Administrator, LLC, Overstated Its Excess Plan Medicare Segment Pension Assets as of January 1, 2017
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Noridian Healthcare Solutions, LLC, Claimed Unallowable Medicare Nonqualified Restoration Savings Plan Costs Through Its Incurred Cost Proposals
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Medicare Advantage Organizations Are Missing Opportunities To Use Ordering Provider Identifiers To Protect Program Integrity
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Medicare Hospital Provider Compliance Audit: Sunrise Hospital & Medical Center
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An Ophthalmology Clinic in California: Audit of Medicare Payments for Eye Injections of Eylea and Lucentis
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Data on Medicaid Managed Care Payments to Providers Are Incomplete and Inaccurate
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Companion Data Services, LLC, Properly Updated Its Excess Plan Medicare Segment Pension Assets as of January 1, 2017
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Advisory Opinion 21-01
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Hospitals Reported That the COVID-19 Pandemic Has Significantly Strained Health Care Delivery
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North Mississippi Medical Center: Audit of Medicare Payments for Polysomnography Services
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CMS Use of Data on Nursing Home Staffing: Progress and Opportunities To Do More
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Peninsula Regional Medical Center: Audit of Medicare Payments for Polysomnography Services
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Florida Did Not Ensure That Nursing Facilities Always Reported Allegations of Potential Abuse or Neglect of Medicaid Beneficiaries and Did Not Always Assess, Prioritize, or Investigate Reported Incidents
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CMS Authorized Hundreds of Millions of Dollars in Advanced Premium Tax Credits on Behalf of Enrollees Who Did Not Make Their Required Premium Payments
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Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Blue Cross Blue Shield of Michigan (Contract H9572) Submitted to CMS
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Medicare Hospice Provider Compliance Audit: Tidewell Hospice, Inc.