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Reports

  • CGS Administrators, LLC, Generally Claimed Allowable Medicare Pension Costs
  • CGS Administrators, LLC, Did Not Claim Some Allowable Medicare Administrative Contract Postretirement Benefit Costs
  • CGS Administrators, LLC, Claimed Some Unallowable Medicare Administrative Contract Pension Costs
  • 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
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