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Reports

  • Medicare Hospital Provider Compliance Audit: Texas Health Presbyterian Hospital Dallas
  • Billions in Estimated Medicare Advantage Payments From Chart Reviews Raise Concerns
  • Medicare Hospital Provider Compliance Audit: St. Vincent Hospital
  • Medicare Hospital Provider Compliance Audit: Carolinas Hospital
  • Medicare Hospital Provider Compliance Audit: Northwest Medical Center
  • Hospitals Received Millions in Excessive Outlier Payments Because CMS Limits the Reconciliation Process
  • Cahaba Safeguard Administrators, LLC, Properly Updated the Medicare Segment Pension Assets as of January 1, 2017
  • Cahaba Government Benefits Administrators, LLC, Overstated Its Medicare Segment Pension Assets as of January 1, 2017
  • Medicare Made Hundreds of Thousands of Dollars in Overpayments for Chronic Care Management Services
  • Noridian Healthcare Solutions, LLC, Claimed Some Unallowable Medicare Pension CostsTitle
  • Noridian Healthcare Solutions, LLC, Understated Its Medicare Segment Pension Assets
  • Medicare Improperly Paid Acute-Care Hospitals $54.4 Million for Inpatient Claims Subject to the Post-Acute-Care Transfer Policy
  • Audit of Medicare Part D Pharmacy Fees: Geisinger Health Systems, Inc
  • Testimony of Brian P. Ritchie
  • Tennessee Made Unallowable Capitation Payments for Beneficiaries Assigned Multiple Medicaid Identification Numbers
  • Medicare Home Health Agency Provider Compliance Review: Angels Care Home Health
  • Medicare Improperly Paid Suppliers an Estimated $92.5 Million for Inhalation Drugs
  • Medicare Allowable Amounts for Certain Orthotic Devices Are Not Comparable With Payments Made by Select Non-Medicare Payers
  • 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
  • THE CENTERS FOR MEDICARE & MEDICAID SERVICES COULD IMPROVE ITS PROCESSES FOR EVALUATING AND REPORTING PAYMENT RECOVERY SAVINGS ASSOCIATED WITH THE FRAUD PREVENTION SYSTEM
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