Reports

• Wisconsin Physicians Service Insurance Corporation Claimed Unallowable Medicare Part B Administrative Costs for Fiscal Year 2012

  

• National Government Services Properly Claimed Allowable Administrative Costs for the Last Three Quarters of Fiscal Years 2011 and 2012 Under Medicare Contract 00630

  

• National Government Services Properly Claimed Allowable Administrative Costs for the Last Three Quarters of Fiscal Years 2011 and 2012 Under Medicare Contract 00130

  

• National Government Services Properly Claimed Allowable Administrative Costs for the Last Three Quarters of Fiscal Years 2011 and 2012 Under Medicare Contract 00450

  

• Medicare Payments for Clinical Diagnostic Laboratory Tests in 2016: Year 3 of Baseline Data

  

• Shortcomings of Device Claims Data Complicate and Potentially Increase Medicare Costs for Recalled and Prematurely Failed Devices

  

• Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2015 Average Sales Prices

  

• A Few States Fell Short in Timely Investigation of the Most Serious Nursing Home Complaints: 2011-2015

  

• Enhancements Needed in the Tracking and Collection of Medicare Overpayments Identified by ZPICs and PSCs

  

• Wisconsin Physicians Service Insurance Corporation Claimed Unallowable Medicare Part A Administrative Costs for Fiscal Year 2012

  

• Hawaii Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations

  

• Washington State Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations

  

• CMS Did Not Provide Effective Oversight To Ensure That State Marketplaces Always Properly Determined Individuals Eligibility for Qualified Health Plans and Insurance Affordability Programs

  

• California Did Not Always Ensure That Allegations and Referrals of Abuse and Neglect of Children Eligible for Title IV E Foster Care Payments Were Properly Recorded, Investigated, and Resolved

  

• Integrated Health Administrative Services, Inc., Improperly Claimed Medicare Part B Reimbursement for Portable X-ray Services

  

• Minnesota Did Not Always Comply With Federal and State Requirements for Claims Submitted for the Nonemergency Medical Transportation Program

  

• Massachusetts Generally Complied With State Requirements To Ensure Children Who Were Title IV-E Eligible and Residing in Foster Care Congregate Care Group Homes Received Required Medical Services

  

• Kentucky State Medicaid Fraud Control Unit: 2017 Onsite Review

  

• Alaska State Medicaid Fraud Control Unit: 2016 Onsite Review

  

• Medicare Compliance Review of Parkridge Medical Center, Inc., for 2014 and 2015