CMS Validated Hospital Inpatient Quality Reporting Program Data, But Should Use Additional Tools to Identify Gaming
Medicare Compliance Review of Mount Sinai Hospital for 2012 and 2013
Illinois Made Correct Medicaid Claim Adjustments
Medicare Compliance Review of the University of Arkansas for Medical Sciences Medical Center for 2013 and 2014
California Incorrectly Claimed Additional Medicaid Funding Authorized Under the Recovery Act When Reclaiming Overpayments Made to Bankrupt or Out-of-Business Providers
Florida Did Not Suspend Medicaid Payments to Some Providers That Had Credible Fraud Allegation Cases in Accordance With the Social Security Act
Ohios and Michigans Sales and Use Taxes on Medicaid Managed Care Organization Services Do Not Meet Broad-Based Requirement
New Jersey Claimed Medicaid Reimbursement for Adult Partial Hospitalization Services That Did Not Comply With Federal and State Requirements
Ohio Made Incorrect Medicaid Payments to Providers for Full Vials of Herceptin
Texas Made Unallowable Medicaid Managed Care Payments for Beneficiaries Assigned More Than One Medicaid Identification Number
Wisconsin Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs
Medicare Compliance Review of Jackson-Madison County General Hospital for Claims Paid From June 1, 2013, Through May 31, 2015
Missouri Properly Verified Correction of Deficiencies Identified During Surveys of Nursing Homes
Mississippi Claimed Millions in Unallowable School-Based Medicaid Administrative Costs
Alta Bates Medical Center Inaccurately Reported Wage Data, Resulting in Medicare Overpayments
Cleveland Clinic Lerner College of Medicine Inappropriately Drew Down Hurricane Sandy Disaster Relief Act Funds and Did Not Always Implement Effective Internal Controls
Data Inadequacies Undermine CMSs Oversight of the Inconsistency Resolution Process for the Federal Marketplace