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Publications

Reports

Pennsylvania Did Not Fully Comply With Federal and State Requirements for Reporting and Monitoring Critical Incidents Involving Medicaid Beneficiaries With Developmental Disabilities
CMS Controls Over Assigning Medicare Beneficiary Identifiers and Mailing New Medicare Cards Were Generally Effective but Could Be Improved in Some Areas
New York Improperly Claimed Medicaid Reimbursement for Some Bridges to Health Waiver Program Services That Were Not in Accordance With an Approved Plan of Care and Did Not Meet Documentation Requirements
Advisory Opinion 20-01
CMS Made an Estimated $93.6 Million in Incorrect Medicare Electronic Health Record Incentive Payments to Acute-Care Hospitals, or Less Than 1 Percent of $10.8 Billion in Total Incentive Payments
Medicare Home Health Agency Provider Compliance Audit: Palos Community Hospital Home Health Agency
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
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