Reports

• CMS Guidance to State Survey Agencies on Verifying Correction of Deficiencies Needs To Be Improved To Help Ensure the Health and Safety of Nursing Home Residents

  

• Medicare Paid Twice for Ambulance Services Subject to Skilled Nursing Facility Consolidated Billing Requirements

  

• Testimony of Ann Maxwell (February 2019)

  

• Advisory Opinion 19-02

  

• Kelley Medical Equipment and Supply, LLC, Received Unallowable Medicare Payments for Orthotic Braces

  

• Although the Centers for Medicare & Medicaid Services Has Made Progress, It Did Not Always Resolve Audit Recommendations in Accordance With Federal Requirements

  

• Advisory Opinion 19-01

  

• Rhode Island Did Not Ensure Its Managed Care Organizations Complied With Requirements Prohibiting Medicaid Payments for Services Related to Provider-Preventable Conditions

  

• Medicare Market Shares of Mail Order Diabetes Test Strips From April Through June 2018

  

• A Queens Chiropractor Received Improper Medicare Payments for Chiropractic Services

  

• Pacific Medical, Inc., Received Some Unallowable Medicare Payments for Orthotic Braces

  

• Dialysis Services Provided by Atlantis Health Care Group of Puerto Rico, Inc., Did Not Comply With Medicare Requirements Intended To Ensure the Quality of Care Provided to Medicare Beneficiaries

  

• First Coast Service Options, Inc., Paid Providers for Hyperbaric Oxygen Therapy Services That Did Not Comply With Medicare Requirements

  

• Midwood Ambulance & Oxygen Service, Inc., Billed for Nonemergency Ambulance Transport Services That Did Not Comply With Medicare Requirements

  

• Louisiana Did Not Comply With Federal and State Requirements Prohibiting Medicaid Payments for Inpatient Hospital Services Related to Provider-Preventable Conditions

  

• Wisconsin Did Not Report and Refund the Full Federal Share of Medicaid-Related Settlements and a Judgment

  

• Texas Claimed Community First Choice Fee-for-Service Expenditures Appropriately

  

• Payments Made by National Government Services, Inc., to Hospitals for Certain Advanced Radiation Therapy Services Did Not Fully Comply With Medicare Requirements

  

• California Made Medicaid Payments on Behalf of Non-Newly Eligible Beneficiaries Who Did Not Meet Federal and State Requirements

  

• Vulnerabilities Exist in State Agencies Use of Random Moment Sampling To Allocate Costs for Medicaid School-Based Administrative and Health Services Expenditures