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Centers for Medicare and Medicaid Services (CMS)

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CMS Document Archive

2014

04-16-2014: Medicare and Beneficiaries Could Save Billions If CMS Reduces Hospital Outpatient Department Payment Rates for Ambulatory Surgical Center-Approved Procedures to Ambulatory Surgical Center Payment Rates (A-05-12-00020)
04-10-2014: Maryland Underreported the Federal Share of Medicaid Overpayment Collections (A-03-11-00208)
04-08-2014: The Medicare Contractor for Jurisdiction 10 Overpaid Providers for Selected Outpatient Drugs (A-04-13-00090)
04-07-2014: Colorado Claimed Unallowable Medicaid Inpatient Supplemental Payments (A-07-13-04206); Medicare Improperly Paid Providers Millions of Dollars for Entitlement-Terminated Beneficiaries Who Received Services During 2010 Through 2012 (A-07-13-01127); CMS Generally Met Requirements in the Durable Medical Equipment Competitive Bidding Round 1 Rebid Program (A-05-12-00067)
04-03-2014: Oakwood Hospital and Medical Center Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-13-00032)
03-27-2014: New Jersey Claimed Excessive Medicaid Disproportionate Share Hospital Payments to Four Hospitals (A-02-10-01042)
03-26-2014: Highmark Medicare Services, Inc., Overstated Its Allocable Pension Costs for Calendar Years 2008 Through 2011 (A-07-13-00416); Highmark Medicare Services, Inc., Claimed Some Unallowable Medicare Pension Costs for Fiscal Years 2003 Through 2009 (A-07-13-00415); Highmark Medicare Services, Inc., Understated Its Medicare Segment Pension Assets and Understated the Medicare Segment Excess Pension Liabilities as of January 1, 2012 (A-07-13-00414)
03-24-2014: The California Medicaid Program Could Significantly Lower Payment Rates for Selected Durable Medical Equipment (A-09-13-02028)
03-21-2014: Weaknesses in Idaho's Information System General Controls Over Its Medicaid Claims Processing System Increase Vulnerabilities (A-09-12-03009)
03-18-2014: Medicare Contractors for Jurisdiction 8 Overpaid Providers for Selected Outpatient Drugs (A-05-13-00012); Noridian Healthcare Solutions, LLC, Understated Its Medicare Segment Allocable Postretirement Benefit Costs and Overstated Its Other Segment Allocable Postretirement Benefit Costs for Calendar Years 2006 Through 2010 (A-07-13-00422); Noridian Healthcare Solutions, LLC, Claimed Some Unallowable Medicare Postretirement Benefit Costs for Fiscal Years 2006 Through 2010 (A-07-13-00421); Noridian Healthcare Solutions, LLC, Understated Its Medicare Segment Postretirement Benefit Assets as of January 1, 2011 (A-07-13-00420); State Medicaid Agencies Can Significantly Reduce Medicaid Costs for Diabetic Test Strips (A-05-13-00033)
03-17-2014: Medicare Compliance Review of Bryan Medical Center for Calendar Years 2010 and 2011 (A-07-12-05036)
03-14-2014: The Medicare Contractor for Jurisdiction 5 Overpaid Providers for Selected Outpatient Drugs (A-07-13-04201); Medicare Contractors for Jurisdiction 15 Overpaid Providers for Selected Outpatient Drugs (A-05-13-00013)
03-12-2014: CMS Did Not Always Correctly Make Clinic Visit Payments to Hospitals (A-04-12-06154)
03-11-2014: Medicaid Rates for Residential Habilitation Services Provided at New York State-Operated Residences Are Excessive (A-02-13-01008); Medicare Often Made Overpayments to New England Home Health Agencies for Claims Without Required Outcome and Assessment Information Set Data for Calendar Year 2010 (A-01-12-00508)
03-07-2014: Medicare Compliance Reviews at Hospitals in Christus Health System (A-06-14-00027)
03-06-2014: Michigan Claimed Improper Medicaid Reimbursement for Some Medicare Part B Premiums (A-05-12-00035)
03-05-2014: University Hospitals Case Medical Center Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-13-00031); Maine Did Not Always Claim Federal Medicaid Reimbursement for Clinical Diagnostic Laboratory Services in Accordance With Requirements (A-01-13-00005); High-Risk Security Vulnerabilities Identified During Reviews of Information Technology General Controls at State Medicaid Agencies (A-07-14-00433)
03-04-2014: Results of Reviews at Three Suppliers of Diabetic Testing Supplies (A-09-13-02032); Butler Memorial Hospital Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-13-00014); Medicare Compliance Review of Nebraska Medical Center for Calendar Years 2010 and 2011 (A-07-12-05037)
02-25-2014: Medicare Compliance Review of Christus Santa Rosa Hospital for the Period January 1, 2010, Through June 30, 2012 (A-06-12-00068); Medicare Compliance Review of Christus Hospital - St. Elizabeth for the Period January 1, 2010, Through June 30, 2012 (A-06-13-00020); Medicare Compliance Review of Christus St. Frances Cabrini Hospital for the Period January 1, 2010, Through June 30, 2012 (A-06-13-00019)
02-20-2014: WellSpan York Hospital Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-13-00015)
02-18-2014: Ben Taub Hospital Claimed Unallowable Medicare Reimbursement for Hospital Outpatient Dental Services (A-06-13-00004)
02-12-2014: Medicare Compliance Review of Good Samaritan Medical Center (A-01-13-00501)
02-11-2014: Palmetto Health Baptist Hospital Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-13-00029)
02-07-2014: South Carolina Medicaid Overpaid Hospitals for Some Inpatient Services That Medicare Paid (A-04-11-06145)
02-06-2014: Compliance Review of Lowell General Hospital's Methuen Dialysis Facility (A-01-12-00517); The Medicare Contractors for Jurisdiction 12 Overpaid Providers for Selected Outpatient Drugs (A-03-13-00012); The Medicare Contractors for Jurisdiction 11 Overpaid Providers for Selected Outpatient Drugs (A-03-13-00011); Medicare Compliance Review of UMass Memorial Medical Center for Calendar Years 2010 and 2011 (A-01-13-00503)
02-05-2014: Kentucky Did Not Pay Some Line Items on Medicaid Claims in Accordance With Its Medicaid National Correct Coding Initiative Methodologies (A-04-13-06166)
01-29-2014: Medicare Compliance Review of Baylor All Saints Medical Center at Fort Worth for Calendar Years 2010 and 2011 (A-06-12-00030)
01-28-2014: New York State Made Unallowable Medicaid Fee-for-Service Payments for Beneficiaries Also Enrolled in Medicaid Managed Care (A-02-12-01007); Missouri Did Not Always Correctly Claim Costs for Medicaid Family Planning Drugs for Calendar Years 2009 and 2010 (A-07-12-01118); Christus Saint Vincent Regional Medical Center Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-13-00035)
01-27-2014: The Medicare Contractors for Jurisdiction E Overpaid Providers for Selected Outpatient Drugs (A-09-13-02009); Medicare Improperly Paid Millions of Dollars for Prescription Drugs Provided to Incarcerated Beneficiaries During 2006 Through 2010 (A-07-12-06035); The Medicare Contractor for Jurisdiction F Overpaid Providers for Selected Outpatient Drugs (A-09-13-02003)
01-23-2014: Mercy Medical Center Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-13-00033)
01-16-2014: Utah Did Not Properly Pay Some Medicare Deductibles and Coinsurance (A-07-13-03191)
01-15-2014: Medicare Compliance Review of Medical University of South Carolina for the Period January 1, 2011, Through June 30, 2012 (A-04-13-03075); TrailBlazer Claimed Medicare Part B Administrative Costs in Accordance With Federal Requirements (A-06-13-00016)
01-13-2014: The Minnesota Medicaid Program Could Significantly Lower Payment Rates for Selected Durable Medical Equipment and Supplies (A-05-13-00015)
01-10-2014: Jersey City, New Jersey, Did Not Always Comply With Early Retiree Reinsurance Program Requirements (A-05-12-00039)
01-09-2014: Review of Medicare Contractor Information Security Program Evaluations for Fiscal Year 2011 (A-18-13-30100)
01-07-2014: Medicare Compliance Review of Memorial Hospital for Calendar Years 2010 and 2011 (A-07-13-01124)
01-06-2014: Medicare Compliance Review of Morton Hospital for Calendar Years 2010 and 2011 (A-01-13-00500)

2013

12-31-2013: Medicare Could Have Saved Millions if Organ Procurement Organizations Had Correctly Reported Procurement of Double Lungs as Two Organs (A-09-12-02085)
12-30-2013: Medicare Payments for Vacuum Erection Systems Are More Than Twice as Much as the Amounts Paid for the Same or Similar Devices by Non-Medicare Payers (A-07-12-05024)
12-24-2013: Most of New Jersey's Claims for Medicaid Supported Employment Services Were Unallowable (A-02-12-01009)
12-23-2013: CMS Should Improve Oversight for the Transfer of True Out-of-Pocket Costs Between Part D Plans (A-05-12-00053)
12-20-2013: Maryland Withdrew Excessive Federal Medicaid Funds for Fiscal Years 2009 Through 2011 (A-06-12-00051)
12-19-2013: Reviews of Clinicians Associated With High Cumulative Payments Could Improve Medicare Program Integrity Efforts (A-01-11-00511)
12-18-2013: Medicare Compliance Review of Heartland Regional Medical Center for Calendar Years 2010 and 2011 (A-07-12-01120)
12-17-2013: Texas' Experience Rebate Provision in Managed Care Contracts Were Administered in Accordance with Federal, State, and Contractual Requirements (A-06-13-00002)
12-16-2013: Noridian Healthcare Solutions, LLC, Claimed Some Unallowable Medicare Pension Costs for Fiscal Years 2006 Through 2010 (A-07-13-00418); Noridian Healthcare Solutions, LLC, Overstated Its Allocable Pension Costs for Calendar Years 2006 Through 2010 (A-07-13-00419)
12-13-2013: Review of Douglas Consulting and Computer Services, Inc., Claimed Costs for Calendar Years 2008 Through 2011 (A-03-12-03302)
12-12-2013: Kentucky Did Not Correctly Calculate Payment Rates for Private Facilities or Report Cost Settlement Adjustments to CMS (A-04-12-08018); Colorado Did Not Properly Pay Some Medicare Part B Deductibles and Coinsurance (A-07-13-03189)
12-04-2013: Georgia Did Not Pay Some Line Items on Medicaid Claims in Accordance With Its Medicaid National Correct Coding Initiative Methodologies (A-04-12-06159); Hawaii Did Not Comply With Some Provisions of the QUEST Expanded Medicaid Demonstration Project When Determining Eligibility for Federal Reimbursement of Uncompensated Care Costs (A-09-12-02084)
12-03-2013: Medicare Compliance Review of St. Vincent's Medical Center for Calendar Years 2009 and 2010 (A-04-12-08013); Medicare Compliance Review of St. Elizabeth's Medical Center for Calendar Years 2010 and 2011 (A-01-12-00528)
11-26-2013: Noridian Healthcare Solutions, LLC, Inappropriately Paid Hospitals' Medicare Claims Subject to the Postacute Care Transfer Policy in Jurisdiction 2 (A-09-13-02035)
11-27-2013: Medicare Contractors Nationwide Overpaid Millions to Providers for Full Vials of Herceptin (A-05-13-00024)
11-26-2013: Maryland Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-03-12-00200)
11-25-2013: Medicare Compliance Review of JFK Medical Center for Calendar Years 2009 and 2010 (A-04-12-07032)
11-20-2013: Medicare Compliance Review of Mercy Medical Center in Mason City for Calendar Years 2010 and 2011 (A-07-12-05030); Diep Chiropractic Wellness, Inc., Received Unallowable Medicare Payments for Chiropractic Services (A-09-12-02072); New York Claimed Some Unallowable Costs for Assistive Technology Services Under the State's Developmental Disabilities Waiver Program (A-02-10-01039)
11-19-2013: Medicare Compliance Review of Mercy Medical Center in Des Moines for Calendar Years 2009 and 2010 (A-07-12-05028)
11-18-2013: Parkland Health and Hospital System Claimed Unallowable Medicare Reimbursement for Hospital Outpatient Dental Services (A-06-13-00003); Medicare Compliance Review of University of Utah Hospital for Calendar Years 2009 and 2010 (A-07-12-01107)
11-12-2013: Oregon Generally Claimed Federal Medicaid Reimbursement for Money Follows the Person Program Expenditures in Compliance With Federal and State Requirements but Internal Controls Should Be Strengthened (A-09-12-02049)
10-30-2013: Medicare Improperly Paid Millions of Dollars for Prescription Drugs Provided to Unlawfully Present Beneficiaries During 2009 Through 2011 (A-07-12-06038)
10-29-2013: National Government Services, Inc., Understated Its Medicare Segment Pension Assets as of January 1, 2010 (A-07-13-00408); National Government Services, Inc., Claimed Some Unallowable Medicare Pension Costs for Fiscal Years 2003 Through 2006 (A-07-13-00409)
10-25-2013: National Government Services, Inc., Paid Unallowable Lower Limb Prosthetics Claims (A-07-13-05039)
10-23-2013: Medicare Compliance Review of Mary Washington Hospital for Calendar Years 2009 Through 2011 (A-03-12-06106)
10-21-2013: Arkansas Properly Reported the Affordable Care Act Portion of Medicaid Drug Rebates (A-06-13-00034); New York Improperly Claimed Medicaid Reimbursement for Orthodontic Services to Beneficiaries in New York City (A-02-11-01003)
10-17-2013: Colorado Improperly Claimed Some Medicaid Costs for Hospice Services Provided by Evercare Hospice & Palliative Care (A-07-13-04204)
10-10-2013: Medicare Compliance Review Of MedStar Washington Hospital Center (A-03-12-06103)
10-04-2013: HealthNow New York, Inc., Did Not Claim Some Allowable Medicare Part B Pension Costs for Fiscal Years 2007 Through 2009 (A-07-13-00426); HealthNow New York, Inc., Understated Its Medicare Part B Segment Pension Assets and Understated Medicare's Share of the Medicare Segment Excess Pension Liabilities as of January 1, 2009 (A-07-13-00425)
09-30-2013: Medicare Compliance Review of University of Miami Hospital (A-04-12-07033)
09-27-2013: Indiana Claimed Medicaid Reimbursement for High-Dollar Inpatient Services That Were Unallowable (A-05-11-00040)
09-26-2013: Medicare Compliance Review of UPMC Presbyterian Shadyside for Calendar Years 2008 Through 2011 (A-03-12-06105)
09-25-2013: Medicare Compliance Review of University of Wisconsin Hospital and Clinics for Calendar Years 2008 Through 2010 (A-05-12-00030)
09-20-2013: New York State Improperly Claimed Medicaid Reimbursement for Some Home Health Services Claims Submitted by Certified Home Health Agencies (A-02-11-01008)
09-19-2013: Oklahoma Complied With the Federal Medicaid Requirements for Billing Manufacturers for Rebates for Physician-Administered Drugs (A-06-12-00059)
09-17-2013: Medicare Incorrectly Paid Hospitals for Beneficiaries Who Had Not Received 96 or More Hours of Mechanical Ventilation (A-09-12-02066); Bravo Health Pennsylvania, Inc. (Contract H3949), Submitted Many Diagnoses to the Centers for Medicare & Medicaid Services That Did Not Comply With Federal Requirements for Calendar Year 2007 (A-03-09-00003)
09-16-2013: Illinois Did Not Always Properly Claim Medicaid Reimbursement for Hospice Claims (A-05-12-00029)
09-11-2013: Wisconsin Improperly Claimed Federal Medicaid Reimbursement for Most Residential Care Center Payments (A-05-07-00036); Medicaid Hospice General Inpatient Payments to Home and Hospice Care of Rhode Island Did Not Always Meet Federal and State Requirements (A-01-13-00002); Tallahassee Memorial HealthCare, Inc., Submitted Incomplete Quality Measure Data to CMS (A-04-11-08002)
09-09-2013: Maryland Claimed Costs for Unallowable Room and Board and Other Residential Habilitation Costs Under Its Community Pathways Waiver Program (A-03-12-00203)
09-05-2013: Medicare Compliance Review of Sanford Medical Center in Fargo for Calendar Years 2010 and 2011 (A-07-12-05031); New Jersey Medicaid Program Could Achieve Savings by Reducing Home Blood-Glucose Test Strip Prices (A-02-12-01010); New York Claimed Hospital-Based Continuing Day Treatment Services That Were Not in Compliance With Federal and State Requirements (A-02-11-01038)
08-29-2013: Salary and Nonsalary Costs Claimed by the University of Texas Southwestern Medical Center Were Allowable (A-06-11-00018)
08-27-2013: Medicare Compliance Review of St. Joseph Regional Health Center for Calendar Years 2009 and 2010 (A-06-12-00029); Alabama Received Millions in Unallowable Performance Bonus Payments Under the Children's Health Insurance Program Reauthorization Act (A-04-12-08014)
08-21-2013: Medicare Compliance Review of Southcoast Hospitals Group for Calendar Years 2010 and 2011 (A-01-12-00523); Medicare Compliance Review of Tulane Medical Center of New Orleans for Calendar Years 2010 and 2011 (A-06-12-00034)
08-16-2013: Durable Medical Equipment Claims Paid by Noridian Healthcare Solutions, LLC, Did Not Always Meet the Requirements of the Local Coverage Determination for Lower Limb Prostheses (A-07-12-05035)
08-09-2013: Durable Medical Equipment Claims Paid by National Heritage Insurance Company, Inc., Did Not Always Meet the Requirements of the Local Coverage Determination for Lower Limb Prostheses (A-07-13-05040)
08-08-2013: Washington State Claimed a Small Amount of Unallowable Medicaid Reimbursement for Home Health Services That Exceeded the Maximum Allowable Number of Reimbursable Visits (A-09-12-02056); Palmetto GBA Claimed Substantially Allowable Costs on Its Part B Final Administrative Cost Proposals for Fiscal Years 2010 and 2011 (A-04-13-04008)
08-07-2013: New Jersey Did Not Always Claim Medicaid Reimbursement for Medicare Part B Premiums in Accordance with Federal Requirements (A-02-10-01025); New York Complied With Federal Requirements to Report Medicaid Overpayment Collections for the Quarter Ended September 30, 2011 (A-02-12-01020)
08-05-2013: Medicare Could Save Millions by Strengthening Billing Requirements for Canceled Elective Surgeries (A-01-12-00509)
08-02-2013: National Government Services Claimed Allowable Administrative Costs for Fiscal Years 2008 and 2009 under Medicare Contract 00130 (A-05-12-00037)
08-02-2013: Observations Noted During the OIG Review of CMS's Implementation of the Health Insurance Exchange-Data Services Hub (A-18-13-30070)
07-30-2013: The Centers for Medicare & Medicaid Services Awarded Consumer Operated and Oriented Plan Program Loans in Accordance With Federal Requirements, and Continued Oversight Is Needed (A-05-12-00043)
07-24-2013: Medicare Compliance Review of Community Medical Center for Calendar Years 2010 and 2011 (A-07-12-01119)
07-16-2013: Medicare Compliance Review of the Hospital of the University of Pennsylvania for Calendar Years 2008 Through 2011 (A-03-12-06104)
07-12-2013: CGS Administrators, LLC, Paid Unallowable Lower Limb Prosthetics Claims (A-06-12-00055)
07-11-2013: Medicare Compliance Review of University of Kansas Hospital for Calendar Years 2009 and 2010 (A-07-11-01105); Medicare Compliance Review of Via Christi Hospital for Calendar Years 2009 and 2010 (A-07-11-01099)
07-05-2013: Wing Memorial Hospital Did Not Always Bill Correctly for Evaluation and Management Services Related to Diagnostic or Therapeutic Procedures and Supartz Injections (A-01-12-00519)
07-02-2013: The New York State Manufacturer Rebate Program Significantly Reduced Medicaid Costs for Home Blood-Glucose Test Strips But Could Achieve Additional Reductions (A-02-11-01042); Kentucky Substantially Met Money Follows the Person Program Requirements (A-04-12-06152)
07-01-2013: Noninstitutional Providers in California Did Not Always Reconcile Invoice Records With Credit Balances and Refund to the State Agency the Associated Medicaid Overpayments (A-09-12-02047)
06-25-2013: Medicare Part B and Beneficiaries Paid for Xolair That Jurisdiction 14 Physicians Discarded Without Documentation (A-01-12-00518); Massachusetts Medicaid Payments to Healthbridge Management Did Not Always Comply With Federal and State Requirements (A-01-13-00001); Missouri Claimed Unallowable Medicaid Payments for Individuals With Intellectual and Developmental Disabilities in Intermediate Care Facilities (A-07-12-03180); California Improperly Claimed Enhanced Federal Reimbursement for Medicaid Family Planning Drugs and Supplies Provided in San Diego County (A-09-12-02077); Medicare Compliance Review of Hospital Español Auxilio Mutuo De Puerto Rico, Inc., For Calendar Years 2010 and 2011 (A-02-12-01026)
06-21-2013: Meritus Medical Center Refunded Overpayments for Physician Claims With Place-of-Service Coding Errors For 2009 Through 2012 (A-01-12-00531); Missouri Improperly Claimed Federal Reimbursement for Most Reviewed Medicaid Inpatient Psychiatric Hospital Service and Disproportionate Share Hospital Payments to Hawthorn Children's Psychiatric Hospital (A-05-12-00050); Indiana Improperly Claimed Federal Reimbursement for All Reviewed Medicaid Inpatient Psychiatric Hospital Service Payments to Evansville State Hospital (A-05-12-00041)
06-20-2013: Baptist Medical Center South Complied With Most Medicare Requirements for Billing Inpatient and Outpatient Services for Calendar Years 2009 and 2010 (A-04-12-00083); Medicare Compliance Followup Review of Tufts Medical Center (A-01-12-00527)
06-17-2013: CGS Administrators, LLC Made Payments for Therapeutic Shoes Furnished to Medicare Beneficiaries in Puerto Rico That Generally Did Not Comply With Federal Requirements (A-02-11-01001)
06-12-2013: National Government Services Claimed Allowable Administrative Costs for Fiscal Years 2008 and 2009 under Medicare Contract 00450 (A-05-11-00110); Missouri Did Not Always Correctly Claim Costs for Medicaid Family Planning Sterilization Procedures for Calendar Years 2009 and 2010 (A-07-12-01117)
06-11-2013: Medicare Compliance Review of Community Regional Medical Center (A-09-12-02071)
06-10-2013: Spectrum Rehabilitation, LLC, Claimed Unallowable Medicare Part B Reimbursement for Outpatient Therapy Services (A-02-11-01044)
06-07-2013: Wisconsin Claimed Medicaid Reimbursement for High-Dollar Inpatient Services That Were Unallowable (A-05-11-00037); Anthem Health Plans of New Hampshire, Inc., Understated Its Medicare Segment Pension Assets as of January 1, 2006 (A-07-13-00406); Anthem Health Plans of New Hampshire, Inc., Did Not Claim Some Allowable Medicare Pension Costs for Fiscal Years 2003 Through 2005 (A-07-13-00407); Quality Software Services, Inc., Had Not Implemented Universal Serial Bus Device and Port Controls. (A-04-12-05045)
06-06-2013: Anthem Health Plans of Maine, Inc., Did Not Claim Some Allowable Medicare Pension Costs for Fiscal Years 2003 Through 2005 (A-07-13-00405); Anthem Health Plans of Maine, Inc., Overstated Its Medicare Segment Pension Assets as of January 1, 2006 (A-07-13-00404); Blue Cross Blue Shield of Georgia Did Not Claim Some Allowable Medicare Pension Costs for Fiscal Years 2006 Through 2009 (A-07-12-00398); Blue Cross Blue Shield of Georgia Overstated Its Medicare Segment Pension Assets and Understated Medicare's Share of the Excess Liabilities as of May 31, 2009 (A-07-12-00397); Medicare Payments to Connecticut Physicians for Full Vials of Herceptin Were Generally Correct (A-01-12-00515)
06-05-2013: Medicare Compliance Review of Aibonito Mennonite General Hospital, Inc., for Calendar Years 2010 and 2011 (A-02-12-01032); Medicare Payments to Jurisdiction 14 Physicians for Full Vials of Herceptin Were Generally Correct (A-01-12-00514)
06-04-2013: Medicare Compliance Review of the Brooklyn Hospital Center for Calendar Years 2010 and 2011 (A-02-12-01021)
05-30-2013: Maryland Generally Complied With Requirements for Medicaid Payments Made to Multi-Medical Center for Nursing Facility Services (A-03-11-00151); Indiana Improperly Claimed Federal Reimbursement for Most Medicaid Inpatient Psychiatric Hospital Service and Disproportionate Share Hospital Payments to Evansville Psychiatric Children's Center (A-05-12-00040)
05-29-2013: Medicare Compliance Followup Review of Boston Medical Center (A-01-12-00524); Palmetto GBA, LLC, Inappropriately Paid Hospitals' Medicare Claims Subject to the Postacute Care Transfer Policy in Jurisdiction 1 (A-09-12-02038)
05-28-2013: Medicare Could Save Millions by Implementing a Hospital Transfer Payment Policy for Early Discharges to Hospice Care (A-01-12-00507)
05-22-2013: Florida Generally Ensured That Providers Complied With Selected State Durable Medical Equipment Enrollment Requirements (A-04-12-07034); The Medicare Contractor's Payments to Providers in Jurisdiction 13 for Full Vials of Herceptin Were Often Incorrect (A-02-12-01003)
05-21-2013: New York's Claims for Medicaid Services Provided Under Its Traumatic Brain Injury Waiver Program Did Not Comply With Certain Federal and State Requirements (A-02-10-01043)
05-20-2013: Medicare Compliance Review of Rapid City Regional Hospital for Calendar Years 2010 and 2011 (A-07-12-05033)
05-16-2013: Medicare Compliance Review of Saint Thomas Hospital for Calendar Years 2009 and 2010 (A-04-12-03071)
05-15-2013: Medicare Compliance Review of Cedars-Sinai Medical Center for the Period January 1, 2008, Through June 30, 2011 (A-09-12-02048)
05-13-2013: National Government Services Claimed Allowable Administrative Costs for Fiscal Years 2008 and 2009 Under Medicare Contract 00630 (A-05-11-00084)
05-09-2013: Medicare and Beneficiaries Could Save Millions If Dialysis Payments Were Adjusted for Anemia Management Drug Utilization (A-01-12-00522)
05-07-2013: North Carolina Medicaid Overpaid Hospitals for Some Inpatient Services That Medicare Paid (A-04-11-06137)
05-06-2013: Illinois Significantly Reduced Medicaid Costs for Home Blood-Glucose Test Strips But Could Achieve Additional Reductions (A-05-12-00009)
05-01-2013: CIGNA Healthcare of Arizona, Inc. (Contract H0354), Submitted Many Diagnoses to the Centers for Medicare & Medicaid Services That Did Not Comply With Federal Requirements for Calendar Year 2007 (A-07-10-01082)
04-30-2013: The Ohio Medicaid Program Could Significantly Lower Payment Rates for Selected Durable Medical Equipment and Supplies (A-05-12-00038); Triple-S Salud Did Not Claim Some Allowable Pension Costs for Fiscal Years 2007 Through 2009 (A-07-12-00396); Triple-S Salud Understated Its Medicare Segment Assets and Overstated Medicare's Share of the Excess Liabilities as of March 1, 2009 (A-07-12-00395)
04-29-2013: Maine Improperly Claimed Medicaid Payments for School-Based Health Services Submitted by Portland School Department (A-01-11-00011); Connecticut Generally Implemented Recommendations From Prior Review of Medicaid Payments for Clinical Laboratory Services (A-01-12-00014)
04-24-2013: MedEnvios Healthcare, Inc., Submitted Claims for Diabetic Testing Supplies Without the KL Modifier in Accordance With Medicare Billing Requirements (A-09-12-02053)
04-23-2013: Hawaii Did Not Adequately Monitor Implementation of Some Risk-Sharing Contract Provisions for the QUEST Expanded Medicaid Managed Care Program (A-09-11-02054); Medicare Contractors' Payments Made to Providers in Jurisdiction 7 for Full Vials of Herceptin Were Often Incorrect (A-06-11-00068)
04-18-2013: Tennessee Incorrectly Reported Costs for Individuals With Intellectual and Developmental Disabilities (A-04-12-08016)
04-15-2013: New York State Made Unallowable Medicaid Managed Care Payments for Beneficiaries Assigned Multiple Medicaid Identification Numbers (A-02-11-01006); California Made Unallowable Medicaid Payments for Items and Services Furnished, Ordered, or Prescribed by Excluded Providers (A-09-11-02016); Impact on Medicare Program for Investment Income That Medicare Part D Plans Earned and Retained From Medicare Funds in 2009 (A-07-11-05017)
04-11-2013: Maryland Improperly Claimed Personal Care Services Provided Under Its Medicaid Home and Community-Based Services Waiver for Older Adults (A-03-11-00201)
04-04-2013: Medicare Compliance Review of Lahey Clinic for Calendar Years 2009 and 2010 (A-01-12-00502)
04-03-2013: Rhode Island's Managed Care Contract Settlements With Neighborhood Health Plan of Rhode Island Did Not Always Comply With Federal and State Requirements (A-01-12-00011); Medicare Compliance Review of Sanford USD [University of South Dakota] Medical Center in Sioux Falls for Calendar Years 2010 and 2011 (A-07-12-05032)
04-01-2013: Lower Limb Prosthetics Claims Paid to Ozark Prosthetics and Orthotics Were Not Always Supported by Adequate Documentation (A-07-12-05029)
03-28-2013: Most of HealthNow New York, Inc.'s Medicare Part B Severance and Termination Costs Were Allowable (A-02-11-01020); Florida Medicaid: Millions in Overpayments Not Refunded (A-04-11-08007)
03-26-2013: New York Improperly Claimed Medicaid Reimbursement for Family-Based Treatment Rehabilitation Services (A-02-10-01024)
03-20-2013: Medicare Compliance Review of North Shore Medical Center for Calendar Years 2009 and 2010 (A-01-12-00506)
03-19-2013: Oklahoma Improperly Claimed Federal Reimbursement for Most Reviewed Medicaid Inpatient Psychiatric Hospital Service and Disproportionate Share Hospital Payments to Children's Recovery Center (A-05-12-00052)
03-13-2013: Missouri Incorrectly Claimed Federal Reimbursement for Inpatient Claims With Sterilization and Delivery Procedures for Calendar Years 2009 and 2010 (A-07-12-01121); Group Health Incorporated Overstated Allocable Pension Costs for Plan Years 2007 and 2008 (A-07-12-00381)
03-12-2013: Palmetto GBA Claimed Substantially Allowable Costs on Its Part A Final Administrative Cost Proposals for Fiscal Years 2010 and 2011 (A-04-12-04027)
03-06-2013: Medicare Compliance Review of Somerset Hospital for Calendar Years 2009 Through 2011 (A-03-12-06107); Medicare Compliance Review of Saint Michael's Medical Center for the Period January 1, 2009, Through June 30, 2011 (A-02-12-01005); New Jersey's Medicaid Expenditure Claim Was Supported by Actual Recorded Expenditures (A-02-10-01013)
03-08-2013: Advanced Diabetes Supply Submitted Claims for Diabetic Testing Supplies Without the KL Modifier in Accordance With Medicare Billing Requirements (A-09-12-02035)
03-07-2013: Florida Claimed Some Medicaid Administrative Costs That Did Not Comply With Program Requirements (A-04-10-00076)
03-06-2013: Missouri Claimed Federal Reimbursement for Unallowable Personal Care Services Claims Submitted by The Whole Person, Incorporated (A-07-11-03170)
02-28-2013: Blue Cross Blue Shield Association Did Not Claim Some Allowable Pension Costs For Fiscal Years 1997 Through 2010 (A-07-13-00411); Blue Cross Blue Shield Association Understated the Medicare Segment Pension Assets for the Period of January 1, 1997, to January 1, 2011 (A-07-13-00410); Postretirement Benefit Costs Claimed by United Government Services for October 1, 2001, Through December 31, 2006, Were Reasonable and Allowable (A-07-12-00399)
02-21-2013: Norwalk Hospital Did Not Comply With Medicare Inpatient Rehabilitation Facility Documentation Requirements (A-01-11-00531)
02-19-2013: The Medicare Contractor's Payments in 26 States from the WPS Legacy Workload for Full Vials of Herceptin Were Often Incorrect (A-05-11-00114); The Centers for Medicare & Medicaid Services Collected the Majority of Medicaid Overpayments but Millions Remain Uncollected (A-05-11-00071)
02-13-2013: Medicare Contractors' Payments in Jurisdiction 1 for Full Vials of Herceptin Were Often Incorrect (A-09-12-02069)
02-08-2013: Indiana Improperly Claimed Federal Reimbursement for All Reviewed Medicaid Inpatient Psychiatric Hospital Service Payments to Logansport State Hospital (A-05-12-00042); Acute Care Hospitals in Georgia Did Not Always Reconcile Invoice Records With Credit Balances and Report the Associated Medicaid Overpayments to the State Agency (A-04-12-04021)
02-06-2013: TrailBlazer Mostly Claimed Medicare Part A Administrative Costs in Accordance With Federal Requirements (A-06-10-00108)
01-30-2013: Review of Louisiana Medicaid Personal Care Services Provided by Immaculate Heart of Mary-PCS Audit (A-06-09-00106); Blue Cross Blue Shield of Tennessee Overclaimed Postretirement Benefit Costs for Fiscal Years 1992 Through 2009 (A-07-12-00403); Nursing Facilities in Missouri Did Not Reconcile Invoice Records With Credit Balances and Report the Associated Medicaid Overpayments to the State Agency (A-07-11-03169)
01-28-2013: Massachusetts Medicaid Payments to Weymouth Health Care Center Did Not Always Comply With Federal and State Requirements (A-01-12-00016)
01-25-2013: The Medicare Contractors' Payments in Jurisdiction 10 for Full Vials of Herceptin Were Often Incorrect (A-04-12-03070); Massachusetts Medicaid Payments to Essex Park Rehabilitation and Nursing Center Did Not Always Comply With Federal and State Requirements (A-01-12-00015)
01-23-2013: Medicare Improperly Paid Providers Millions of Dollars for Incarcerated Beneficiaries Who Received Services During 2009 Through 2011 (A-07-12-01113); Medicare Improperly Paid Providers Millions of Dollars for Unlawfully Present Beneficiaries Who Received Services During 2009 Through 2011 (A-07-12-01116)
01-22-2013: Arizona Improperly Claimed Federal Reimbursement for Medicaid School-Based Administrative Costs (A-09-11-02020)
01-18-2013: Arkansas Inappropriately Received Medicaid Family Planning Funding for Federal Fiscal Years 2006 Through 2010 (A-06-11-00022)
01-17-2013: Arkansas Generally Supported Its Claim for Federal Medicaid Reimbursement (A-06-10-00098)
01-16-2013: Neighborhood Diabetes, Inc., Submitted Claims for Diabetic Testing Supplies Without the KL Modifier in Accordance With Medicare Billing Requirements (A-09-11-02073)
01-10-2013: Medicare Compliance Review of California Pacific Medical Center, Pacific Campus, for Calendar Years 2009 and 2010 (A-09-12-02027)
01-09-2013: Medicare Payments to New York Rehabilitative Services, LLC, for Lower Limb Prosthetic Services Generally Complied With Certain Federal Requirements (A-02-12-01002)
01-08-2013: Review of Medicare Contractor Information Security Program Evaluations for Fiscal Year 2010 (A-18-12-30100)
01-07-2013: The Medicare Contractor's Payments to Providers in Jurisdiction 9 for Full Vials of Herceptin Were Often Incorrect (A-04-12-06146)

2012

12-31-2012: TrailBlazer Claimed Medicare Part B Administrative Costs in Accordance With Federal Requirements (A-06-10-00109)
12-27-2012: Medicare Compliance Review of Baton Rouge General Medical Center for Calendar Years 2009 and 2010 (A-06-11-00065); Lower Limb Prosthetics Claims Paid to Premier Prosthetics and Orthotics Were Not Always Supported by Adequate Documentation (A-07-12-05026)
12-21-2012: Medicare Contractors' Payments in Jurisdictions 15 to Providers for Full Vials of Herceptin Were Often Incorrect (A-05-12-00017)
12-20-2012: California Improperly Claimed Enhanced Federal Reimbursement for Medicaid Family Planning Services Provided in San Diego County (A-09-11-02040)
12-19-2012: The UAW Retiree Medical Benefits Trust Properly Claimed Early Retiree Reinsurance Program Reimbursements (A-05-11-00108); The Chicago Regional Council of Carpenters Welfare Fund Properly Claimed Early Retiree Reinsurance Program Reimbursements (A-05-11-00109)
12-17-2012: Pennsylvania Claimed Unallowable Medicaid Administrative Costs for the Regional Housing Coordinator Initiative (A-03-11-00210); The Department of Health and Human Services Has Implemented Predictive Analytics Technologies But Can Improve Its Reporting on Related Savings and Return on Investment (A-17-12-53000)
12-13-2012: The Medicare Contractor's Payments in Jurisdictions 6 and 8 for Full Vials of Herceptin Were Often Incorrect (A-05-11-00112); Review of Medicare Outpatient Billing for Selected Drugs at St. Joseph Hospital (A-09-12-02039); Medicare Compliance Review of New York University Langone Medical Center for the Period July 1, 2008, Through December 31, 2010 (A-02-11-01043)
12-12-2012: Providers Did Not Correctly Bill Medicare Part B for the Oral Form of the Drug Emend (A-07-11-04181)
12-10-2012: Medicare Compliance Review of Hoag Memorial Hospital Presbyterian for Calendar Years 2008 Through 2011 (A-09-12-02012)
12-05-2012: Medicare Compliance Review of Rhode Island Hospital for Calendar Years 2010 and 2011 (A-01-12-00510); Medicare Compliance Review of Hartford Hospital for Calendar Years 2009 and 2010 (A-01-11-00533); Medical Services of America Did Not Always Have Required Documentation on File to Support Its Medicare Claims (A-04-11-04010)
12-04-2012: Review of Medicare Outpatient Billing for Selected Drugs at St. Luke's Boise Medical Center (A-09-12-02043); Review of Medicare Outpatient Billing for Selected Drugs at Sky Lakes Medical Center (A-09-12-02061)
12-03-2012: Medicare Contractors' Payments Made to Providers Currently Assigned to Jurisdiction 4 for Full Vials of Herceptin Were Often Incorrect (A-06-12-00001)
11-30-2012: Risk Adjustment Data Validation of Payments Made to PacifiCare of California for Calendar Year 2007 (Contract Number H0543) (A-09-09-00045); Massachusetts Generally Implemented Recommendations From Prior Review of Claims for Hospital Outpatient Clinical Laboratory Services (A-01-12-00005); Medicare Compliance Review of Tufts Medical Center for Calendar Years 2009 and 2010 (A-01-12-00503)
11-29-2012: New York Improperly Claimed Medicaid Reimbursement for Some Home Health Services Claims Submitted by Certified Home Health Agencies in New York City (A-02-10-01022)
11-27-2012: Most of Pinnacle's Medicare Part B Administrative Costs Reported for Fiscal Years 2008 and 2009 Were Allowable (A-06-11-00045)
11-21-2012: Review of Medicare Outpatient Billing for Selected Drugs at University of California, Irvine, Medical Center (A-09-12-02063); Review of Medicare Outpatient Billing for a Selected Drug at Arroyo Grande Community Hospital (A-09-12-02064)
11-20-2012: Almost All of Pinnacle's Medicare Part A Administrative Costs Reported for Fiscal Years 2008 and 2009 Were Allowable (A-06-11-00044); Iowa Did Not Properly Pay Some Medicare Part A and Part B Deductibles and Coinsurance (A-07-12-03178); The Medicare Contractor's Payments in Jurisdiction 3 for Full Vials of Herceptin Were Often Incorrect (A-07-12-04186)
11-15-2012: LifeCenter Northwest Did Not Fully Comply With Medicare Requirements for Reporting Organ Statistics in Its Fiscal Year 2009 Medicare Cost Report (A-09-11-02039)
11-14-2012: The Emergency Medical Services Authority of Oklahoma City Billed and Was Paid for Advanced Life Support Transports That Were Not Medically Necessary (A-06-11-00050); The New Jersey Department of Human Services Claimed Medicaid Disproportionate Share Hospital Payments to Five Hospitals That Did Not Meet Federal Eligibility Requirements (A-02-09-01017)
11-13-2012: Medicare Made Payments to United Healthcare of Wisconsin, Inc. Under Part D for Drugs That Were Already Covered Under Part C (A-05-11-00051); Medicare Compliance Review of the University of Iowa Hospital for Calendar Years 2009 and 2010 (A-07-12-05023)
11-08-2012: Noninstitutional Providers in North Carolina Did Not Reconcile Invoice Records With Credit Balances and Report the Associated Medicaid Overpayments to the State Agency (A-04-11-04016); Review of Medicare Outpatient Billing for a Selected Drug at Community Hospital Long Beach Memorial (A-09-12-02065); Review of Medicare Outpatient Billing for a Selected Drug at Banner Baywood Medical Center (A-09-12-02062)
11-06-2012: The Medicare Contractor's Payments in Jurisdiction 2 for Full Vials of Herceptin Were Often Incorrect (A-09-12-02003)
11-01-2012: Blue Cross Blue Shield of Tennessee Did Not Claim Some Allowable Restoration Supplemental Executive Retirement Plan Costs for Fiscal Years 2008 and 2009 (A-07-12-00394)
10-30-2012: Review of Medicare Outpatient Billing for Selected Drugs at Doctors Medical Center (A-09-12-02041); Review of Medicare Outpatient Billing for Selected Drugs at Oroville Hospital (A-09-12-02040)
10-25-2012: Review of Medicare Part D Prescription Drug Event Data for Schedule II Drugs at Humana Insurance Company (A-09-12-02031)
10-23-2012: The Medicare Contractor's Payments in Jurisdiction 5 for Full Vials of Herceptin Were Often Incorrect (A-07-12-04187); Review of Medicare Outpatient Billing for Selected Drugs at Swedish Medical Center - First Hill (A-09-12-02042); Review of Medicare Outpatient Billing for Selected Drugs at Ronald Reagan UCLA Medical Center (A-09-12-02050)
10-18-2012: Medicare Compliance Review of Intermountain Medical Center for Calendar Years 2009 and 2010 (A-07-12-01108); Medicare Compliance Review of North Kansas City Hospital for Calendar Years 2009 and 2010 (A-07-12-01115)
10-17-2012: Medicare Compliance Review of Wing Memorial Hospital for Calendar Years 2009 and 2010 (A-01-11-00536)
10-15-2012: Medicare Compliance Review of The University of Alabama at Birmingham Hospital for Calendar Years 2009 and 2010 (A-04-11-00080)
10-10-2012: New Hampshire Did Not Always Correctly Claim Medicaid Payments for School-Based Transportation Services (A-01-11-00008)
10-05-2012: Texas Did Not Always Comply With Federal and State Requirements Regarding the Medicare Buy-In Program (A-06-10-00070); Risk Adjustment Data Validation of Payments Made to Excellus Health Plan, Inc., for Calendar Year 2007 (Contract Number H3351) (A-02-09-01014)
10-04-2012: Massachusetts Medicaid Payments to Millbury Health Care Center Did Not Always Comply With Federal and State Requirements (A-01-12-00010)
10-03-2012: West Virginia Improperly Claimed Some Personal Care Services Under Its Medicaid State Plan (A-03-11-00204)
09-27-2012: Maryland Claimed Medicaid Administrative Costs for Unallowable Remedial and Training Services for the Maryland Poison Center (A-03-12-00204)
09-26-2012: Medicare Compliance Review of Maine Medical Center for Calendar Years 2009 and 2010 (A-01-11-00535)
09-25-2012: Risk Adjustment Data Validation of Payments Made to Paramount Care, Inc., for Calendar Year 2007 (Contract Number H3653) (A-05-09-00044)
09-24-2012: New Jersey Generally Reported Medicaid Overpayments in Accordance With Federal Regulations (A-02-10-01009); New Jersey Did Not Always Claim Federal Medicaid Reimbursement for Personal Care Services Made by Bayada Nurses, Inc., in Accordance With Federal and State Requirements (A-02-10-01001); Blue Cross Blue Shield of Tennessee Overclaimed Supplemental Executive Retirement Plan Costs for Fiscal Years 2005 Through 2009 (A-07-12-00391); Missouri Claimed Federal Reimbursement for Unallowable Personal Care Services Claims (A-07-11-03171)
09-21-2012: Medicare Compliance Review of Centro Cardiovascular de Puerto Rico y del Caribe for the Period January 1, 2008, through June 30, 2010 (A-02-11-01023)
09-12-2012: Alabama Improperly Claimed Federal Funds for Children's Health Insurance Program Enrollees Who Had Medicaid or Other Health Insurance Coverage (A-04-11-08008); South Carolina Claimed Some Unallowable Room-and-Board Costs Under the Intellectual and Related Disabilities Waiver (A-04-11-04012)
09-11-2012: Review of New Mexico Medicaid Personal Care Services Provided by Coordinated Home Health (A-06-09-00064)
09-04-2012: Medicare Overpaid Inpatient Rehabilitation Facilities Millions of Dollars for Claims With Late Patient Assessment Instruments for Calendar Years 2009 and 2010 (A-01-11-00534)
08-28-2012: Review of Medicare Outpatient Billing for Selected Drugs at Essentia Health Duluth (A-09-12-02021)
08-20-2012: Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by Wisconsin Physicians Service Insurance Corporation But Transitioned to Palmetto Government Benefits Administrator in Jurisdiction 1 for the Period January 1, 2006, Through June 30, 2009 (A-07-11-04182); Blue Cross Blue Shield of Tennessee Overstated the Medicare Segment Pension Assets and Medicare's Share of the Excess Pension Liabilities Due to the Segment Closing (A-07-12-00389); Blue Cross Blue Shield of Tennessee Did Not Claim Some Allowable Pension Costs for Fiscal Years 2003 Through 2009 (A-07-12-00390)
08-17-2012: Medicare Contractors' Payments in Jurisdiction 14 for Full Vials of Herceptin Were Often Incorrect (A-01-11-00539); Wyoming Incorrectly Claimed Enhanced Reimbursement for Medicaid Family Planning Sterilization Costs (A-07-11-01100)
08-16-2012: Massachusetts Medicaid Payments to Newton Health Care Center Did Not Always Comply With Federal and State Requirements (A-01-12-00013); The Medicare Contractor's Payments to Maryland Providers in Jurisdiction 12 for Full Vials of Herceptin Were Sometimes Incorrect (A-03-12-00014)
08-15-2012: Massachusetts Medicaid Payments to Calvin Coolidge Nursing and Rehabilitation Center for Northampton Did Not Always Comply With Federal and State Requirements (A-01-12-00012)
08-14-2012: New York Claimed Some Unallowable Costs for Services by New York City Providers Under the State's Developmental Disabilities Waiver Program (A-02-10-01027)
08-13-2012: Rhode Island Hospice General Inpatient Claims and Payments Did Not Always Meet Federal and State Requirements (A-01-12-00002)
08-10-2012: Medicare Contractors' Payments to Providers in Jurisdiction 11 for Full Vials of Herceptin Were Often Incorrect (A-03-11-00013); Texas Did Not Report Excess Contractor Profits in Accordance With Federal Regulations (A-06-10-00062)
08-07-2012: Review of Medicare Outpatient Billing for Selected Drugs at Methodist Healthcare - Memphis Hospitals (A-09-12-02022); Review of Medicare Outpatient Billing for Selected Drugs at Self Regional Healthcare (A-09-12-02032)
08-06-2012: Medicare Part D Made Some Incorrect Payments to Community Insurance Inc. for Institutional Beneficiaries in 2008 (A-05-11-00042)
08-03-2102: Ashtabula County Medical Center Incorrectly Billed Medicare for Leuprolide Acetate Implants (A-03-12-00010)
07-31-2012: Medicare Contractors' Payments to Providers in Four States in Jurisdiction 12 for Full Vials of Herceptin Were Often Incorrect (A-03-11-00014)
07-27-2012: The Medicare Contractor's Payments in Jurisdictions 6 for Full Vials of Herceptin Were Often Incorrect (A-05-12-00010)
07-25-2012: Nevada Improperly Claimed Federal Reimbursement for Medicare Part B Premiums Paid on Behalf of Medicaid Beneficiaries (A-09-11-02024); Not All of Colorado's Claimed State Children's Health Insurance Program Expenditures Were Allowable (A-07-12-02780)
07-24-2012: Pennsylvania Claimed Medicaid Administrative Costs for Provider Training Under Its Restraint Reduction Initiative. (A-03-11-00209); Medicare Compliance Review of Boston Medical Center for Calendar Years 2009 and 2010 (A-01-11-00530)
07-20-2012: Maine Did Not Always Make Correct Medicaid Claim Adjustments (A-01-12-00001)
07-18-2012: Colorado Did Not Always Identify or Prevent Excluded Providers From Participating in the Medicaid Program (A-07-11-06026); Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by Wisconsin Physicians Service Insurance Corporation in Jurisdiction 5 for the Period January 1, 2006, Through June 30, 2009 (A-07-11-04174); Medicare Compliance Review of the Singing River Hospital for Calendar Years 2008 Through 2010 (A-04-11-03069)
07-17-2012: Review of Medicare Outpatient Billing for Selected Drugs at Touchette Regional Hospital (A-09-12-02033); Review of Medicare Outpatient Billing for Selected Drugs at Memorial Health System (A-09-12-02023)
07-12-2012: Review of Medicare Part D Prescription Drug Event Data for Schedule II Drugs at United HealthCare Medicare & Retirement (A-09-11-02023)
07-10-2012: Review of Medicare Outpatient Billing for Selected Drugs at Augusta Health Care, Inc. (A-09-12-02034); Review of Medicare Outpatient Billing for Selected Drugs at Johnston Memorial Hospital (A-09-12-02024); The Medicare Contractor's Payments in Jurisdictions 6, 8, and 15 to Providers for Full Vials of Herceptin Were Often Incorrect (A-05-10-00091)
07-06-2012: Retirement Accumulation Program Costs Claimed by Blue Cross Blue Shield of Tennessee for Fiscal Years 2008 and 2009 Were Reasonable and Allowable (A-07-12-00393); 401(k) Costs Claimed by Blue Cross Blue Shield of Tennessee for Fiscal Years 2005 Through 2009 Were Reasonable and Allowable (A-07-12-00392)
07-02-2012: Medicare Compliance Review of Christiana Care Health System for Calendar Years 2008 Through 2010 (A-03-11-06101); Medicare Compliance Review of West Florida Hospital for Calendar Years 2009 and 2010 (A-04-11-08010); Medicare Compliance Review of Palmetto General Hospital for Calendar Years 2009 and 2010 (A-04-11-07025)
06-29-2012: Audit of Palmetto GBA's Railroad Retirement Board Final Administrative Cost Proposals for Fiscal Years 2007 and 2008 (A-04-11-04018)
06-28-2012: The Centers for Medicare & Medicaid Services Did Not Reconcile Medicare Outlier Payments in Accordance With Federal Regulations and Guidance (A-07-10-02764); Delaware Did Not Comply With Federal Requirements To Report All Medicaid Overpayment Collections (A-03-11-00203); Medicare Could Be Paying Twice for Prescription Drugs for Beneficiaries in Hospice (A-06-10-00059)
06-26-2012: Massachusetts Medicaid Payments to Redstone Rehabilitation and Nursing Center Did Not Always Comply With Federal and State Requirements (A-01-12-00007); Massachusetts Medicaid Payments to Cedar Hill Health Care Center Did Not Always Comply With Federal and State Requirements (A-01-12-00008); Medicare Compliance Review of Tampa General Hospital for Calendar Years 2008 Through 2010 (A-04-11-06138)
06-25-2012: Massachusetts Medicaid Payments to Alliance Health of Massachusetts, Inc., Did Not Always Comply With Federal and State Requirements (A-01-12-00003); Massachusetts Medicaid Payments to Diocesan Health Facilities Did Not Always Comply With Federal and State Requirements (A-01-12-00004)
06-22-2012: States Inappropriately Retained Federal Funds for Medicaid Collections for the First Recovery Act Quarter (A-06-11-00064); AdminaStar Federal, Inc., Claimed Some Unallowable Supplemental Executive Retirement Plan Costs for Medicare Reimbursement for Fiscal Years 2004 Through 2006 (A-07-12-00387)
06-21-2012: Indiana Reduced Medicaid Costs for Home Blood-Glucose Test Strips by Approximately 50 Percent Using Manufacturer Rebates (A-05-12-00011)
06-19-2012: Virginia Commonwealth University Medical Center Incorrectly Billed Medicare for the Biological Drug Myozyme (A-03-12-00009)
06-18-2012: Pennsylvania Did Not Refund the Full Federal Share of Recouped Excess Capitation Payments From the Medicaid Behavioral HealthChoices Program (A-03-10-00204); Montana Did Not Properly Pay Medicare Part B Deductibles and Coinsurance for Outpatient Services (A-07-11-03172)
06-15-2012: North Carolina Incorrectly Claimed Enhanced Federal Reimbursement for Some Medicaid Waiver Services That Were Not Family Planning (A-04-10-01091); North Carolina Incorrectly Claimed Enhanced Federal Reimbursement for Some Medicaid Services That Were Not Family Planning (A-04-10-01089); Review of New Mexico Medicaid Personal Care Services Provided by Clovis Homecare, Inc. (A-06-09-00117)
06-14-2012: Pos-T-Vac Medical Did Not Meet Medicare Documentation Requirements for Over Half of Sampled Claims for Male Vacuum Erection Systems (A-07-11-05016)
06-13-2012: Review of Louisiana Medicaid Personal Care Services Provided by American Pride Caregivers, LLC (A-06-09-00107); Medicare Contractors Lacked Controls To Prevent Millions in Improper Payments for High Utilization Claims for Home Blood-Glucose Test Strips and Lancets (A-09-11-02027)
06-08-2012: West Virginia Complied With Certain Federal Requirements for Most of the Personal Care Services Claimed for Its Aged and Disabled Waiver Program (A-03-11-00205)
06-04-2012: Medicare Continues To Pay Twice for Nonphysician Outpatient Services Provided Shortly Before or During and Inpatient Stay (A-01-10-00508)
05-31-2012: Review of Medicaid Claims for Adult Mental Health Rehabilitation Services Made by Community Residence Providers in New Jersey (A-02-09-01028); WellPoint, Inc. Did Not Always Calculate Enrollees' True-Out-Of-Pocket Costs in Accordance With Federal Requirements (A-05-11-00018)
05-30-2012: Risk Adjustment Data Validation of Payments Made to PacifiCare of Texas for Calendar Year 2007 (Contract Number H4590) (A-06-09-00012)
05-24-2012: Review of Virginia's Buy-In of Medicare Part B Premiums for Medicaid Beneficiaries from January 2008 Through December 2009 (A-03-10-00201); Medicare Overpaid Some Fiscal Year 2008 and 2009 Jurisdiction 13 Inpatient Rehabilitation Facility Claims That Did Not Comply With Transfer Regulations (A-04-11-00079)
05-22-2012: Medicare Compliance Review of New York Downtown Hospital for the Period July 1, 2008, Through December 31, 2010 (A-02-11-01022); Medicare Compliance Review of the University of Colorado Hospital for Calendar Years 2008 and 2009 (A-07-11-05009); Hawaii Claimed Unallowable Medicaid Reimbursement for Nonemergency Medical Transportation Services Furnished by Taxi Providers (A-09-11-02047)
05-21-2012: Fletcher Allen Health Care Did Not Always Bill Correctly for Evaluation and Management Services Related to Eye Injection Procedures (A-01-11-00515)
05-18-2012: Obstacles to Collection of Millions in Medicare Overpayments (A-04-10-03059)
05-17-2012: Most of Missouri's Medicaid Expenditures for the Quarter Ended March 31, 2009, Were Adequately Supported and Allowable (A-07-12-03174); Medicare Compliance Review of South Miami Hospital for Calendar Years 2009 and 2010 (A-04-11-07023); Medicare Compliance Review of Regional Medical Center at Memphis for Calendar Years 2009 and 2010 (A-04-11-00082); Medicare Compliance Review of Piedmont Hospital for Calendar Years 2009 and 2010 (A-04-11-00081); Medicaid Rates for New York State-Operated Developmental Centers May Be Excessive (A-02-11-01029)
05-15-2012: Review of New Mexico Medicaid Personal Care Services Provided by Heritage Home Healthcare (A-06-09-00063)
05-07-2012: Southern California Renal Disease Council, Inc., Claimed Unallowable and Unsupported Costs Under Medicare Contract Number HHSM-500-2006-018C (A-09-11-02044)
05-03-2012: Review of Power Mobility Devices Supplied by Marquis Mobility, Inc. (A-05-10-00042)
05-02-2012: The New York Hotel Trades Council and Hotel Association of New York City, Inc., Health Benefits Fund Reported Unallowable Costs on its Final 2009 Medicare Cost Report (A-02-11-01018)
05-01-2012: Medicare Compliance Review of Barnes Jewish Hospital for Calendar Years 2009 and 2010 (A-07-11-05014); Medicare Compliance Review of Indiana University Health for the Period October 2008 Through September 2010 (A-05-11-00069); Musculoskeletal Global Surgery Fees Often Did Not Reflect the Number of Evaluation and Management Services Provided (A-05-09-00053); Cardiovascular Global Surgery Fees Often Did Not Reflect the Number of Evaluation and Management Services Provided (A-05-09-00054)
04-30-2012: Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by Wisconsin Physicians Service Insurance Corporation but Transitioned to Highmark Medicare Services in Jurisdiction 12 for the Period January 1, 2006, Through June 30, 2009 (A-07-11-04184); Review of Outpatient Brachytherapy Medicare Payments to Lakewood Ranch Medical Center (A-04-10-06131)
04-27-2012: Michigan Did Not Perform Eligibility Redeterminations at Least Every 12 Months for Wayne County Medicaid Beneficiaries (A-05-11-00045)
04-24-2012: Review of Medicare Outpatient Billing for Selected Drugs at Community Hospital of San Bernardino (A-09-11-02069); Medicare Overpaid Some Fiscal Year 2008 and 2009 Jurisdiction 4 Inpatient Rehabilitation Facility Claims That Did Not Comply With Transfer Regulations Audit (A-04-11-00078); Utah Did Not Always Correctly Claim Medicaid Costs for Selected High-Dollar Outpatient Claims Audit (A-07-11-04177)
04-23-2012: Missouri Did Not Always Correctly Claim Medicaid Costs for Selected High-Dollar Outpatient Claims Audit (A-07-11-04180); Review of Medicaid Payments for Services Under New Jersey's Section 1915(c) Community Care Waiver Program From January 1, 2005, Through December 31, 2007 Audit (A-02-10-01029); Southern California Renal Disease Council, Inc., Claimed Unallowable and Unsupported Costs Under Medicare Contract Number 500-02-NW18CH Audit (A-09-11-02005)
04-20-2012: Review of Selected Medicaid Home Health Services Claims Made by Jewish Home and Hospital Lifecare Community Services - Manhattan LTHHCP Audit (A-02-10-01002)
04-17-2012: Review of the Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program in the U.S. Virgin Islands for the Quarter Ended September 30, 2009 (A-02-11-01004)
04-16-2012: St. Luke's Episcopal Church Home Care Program-Juana Diaz Properly Claimed Medicare Reimbursement for Home Health Services (A-02-11-01009)
04-13-2012: Illinois Did Not Report All Medicaid Overpayments In Accordance With Federal Requirements Audit (A-05-11-00044); Review of Medicare Outpatient Billing for Selected Drugs at O'Connor Hospital (A-09-12-02010); Review of Medicare Outpatient Billing for Selected Drugs at University of Utah Hospitals and Clinics (A-09-12-02008); Donor Network of Arizona Did Not Fully Comply With Medicare Requirements for Reporting Organ Statistics and Related Costs in Its Fiscal Year 2009 Medicare Cost Report (A-09-11-02035)
04-12-2012: Most of Mutual of Omaha's Medicare Administrative Costs Reported for Fiscal Years 2007 and 2008 Were Allowable (A-07-11-03166); Postretirement Benefit Costs Claimed by Wisconsin Physicians Service Insurance Corporation for Fiscal Years 1999 Through 2001 Were Reasonable and Allowable (A-07-12-00388); Medicare Compliance Review of Bay Medical Center for Calendar Years 2009 and 2010 (A-04-11-08006); Medicare Compliance Review of Kent County Hospital for Calendar Years 2009 and 2010 (A-01-11-00537)
04-09-2012: Medicare Compliance Review of Georgetown University Hospital for Calendar Years 2009 and 2010 (A-03-11-00010)
04-05-2012: Claim Modifier Did Not Prevent Medicare From Paying Millions in Unallowable Claims for Selected Durable Medical Equipment (A-04-10-04004)
04-04-2012: Review of the Pension Costs Claimed by Group Health Incorporated for Plan Years 1999 Through 2006 (A-07-12-00380); Review of Medicare Part B Pension Costs Claimed by Group Health Incorporated for Plan Years 1987 Through 2008 (A-07-12-00379); Audit of Group Health Incorporated's Cash Balance Pension Plan Unfunded Pension Costs for Plan Years 2003 Through 2007 (A-07-12-00376)
04-03-2012: Review of Colorado Direct Medical Service and Specialized Transportation Costs for the Medicaid School Health Services Program for State Fiscal Year 2008 (A-07-11-04185); Review of the Pension Segmentation Requirements for the Cash Balance Pension Plan at Group Health Incorporated for the Period of September 1, 2003, to January 1, 2009 (A-07-12-00374); Review of the Pension Segmentation Requirements for the EmblemHealth Services Company, LLC, Employees' Retirement Plan at Group Health Incorporated for the Period of January 1, 2008, to January 1, 2009 (A-07-12-00378); Audit of Group Health Incorporated's Local 153 Pension Plan Unfunded Pension Costs for Plan Years 1987 Through 2007 (A-07-12-00375)
04-02-2012: Review of Resident Data Reported in the Intern and Resident Information System for Medicare Cost Reports Submitted to National Government Services, Inc., and Highmark Medicare Services, Inc. (A-02-10-01007); Review of Resident Data Reported in the Intern and Resident Information System for Medicare Cost Reports Submitted to Highmark Medicare Services, Inc., and National Government Services, Inc. (A-02-10-01006)
03-29-2012: Arizona Improperly Claimed Federal Reimbursement for Medicare Part B Premiums Paid on Behalf of Medicaid Beneficiaries (A-09-11-02009)
03-26-2012: Massachusetts Generally Complied With Federal and State Requirements for Medicaid Payments to Wingate Healthcare (A-01-11-00010); Rhode Island Did Not Always Comply With State Requirements on Medicaid Payments for Hospice Services (A-01-11-00005); Review of the Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program in Washington State (A-09-10-02013)
03-22-2012: Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by Wisconsin Physicians Service Insurance Corporation but Transitioned to TrailBlazer Health Enterprises, LLC, in Jurisdiction 4 for the Period January 1, 2006, Through June 30, 2009 (A-07-11-04183); Review of Medicaid Payments for Services Provided Under New Jersey's Section 1915(c) Community Care Waiver by Bancroft NeuroHealth From January 1, 2005, Through December 31, 2007 (A-02-09-01034)
03-21-2012: A Medicare Contractor's Claimed Administrative Costs Were Generally Allowable (A-04-10-00067)
03-16-2012: Review of Medicare Outpatient Billing for Selected Drugs at Oregon Health & Science University (A-09-12-02011); Review of Medicare Outpatient Billing for Selected Drugs at Catskill Regional Medical Center (A-09-12-02007); Medicare Compliance Review of Brigham and Women's Hospital for Calendar Years 2009 and 2010 (A-01-11-00521)
03-13-2012: Ohio Medicaid Costs for Home Blood-Glucose Test Strips Could Be Reduced by Approximately 50 Percent (A-05-11-00098)
03-12-2012: Review of Pension Costs Claimed for Medicare Durable Medical Equipment Regional Carrier Reimbursement by HealthNow New York, Inc., for Fiscal Years 2000 Through 2007 (A-07-11-00367); Review of Medicare Contractor's Pension Segmentation Requirements for the Durable Medical Equipment Regional Carrier Segment at HealthNow New York, Inc., a Terminated Medicare Contractor, for the Period January 1, 2002, to January 1, 2007 (A-07-11-00366); Review of the Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program in Colorado (A-07-11-02758); St. John's Hospital Reported Costs for Outpatient Services on its 2010 Medicare Cost Report that Complied with Federal Requirements (A-05-11-00107); Review of New Mexico Medicaid Personal Care Services Provided by Ambercare Home Health (A-06-09-00062)
03-09-2012: Review of CERT Errors Overturned Through the Appeals Process for Fiscal Years 2009 and 2010 (A-01-11-00504)
03-08-2012: Review of Medicaid Administrative Costs Claimed by New Jersey for State Fiscal Years 2005 and 2006 (A-02-08-01009); Review of Medicare Outpatient Billing for Selected Drugs at Bates County Memorial Hospital (A-09-12-02009)
03-07-2012: Review of Medicare Contractor's Pension Segmentation Requirements for the Medicare Part B Segment at HealthNow New York, Inc., for the Period April 1, 1995, to January 1, 2007 (A-07-11-00363); Audit of HealthNow New York, Inc.'s Unfunded Pension Costs for 1995 Through 2006 (A-07-11-00365); Review of Pension Costs Claimed for the Medicare Part B Segment by HealthNow New York Inc. for Fiscal Years 1995 Through 2006 (A-07-11-00364); Southern California Renal Disease Council, Inc., Claimed Unallowable and Unsupported Costs Under Medicare Contract Number 500-03-NW18 (A-09-10-02045)
02-29-2012: Piedmont Hospital Did Not Fully Comply With Medicare Requirements for Obtaining and Reporting Credits for Replacement Cardiac Medical Devices (A-04-11-03065); Nebraska Did Not Properly Pay Some Medicare Part B Deductibles and Coinsurance (A-07-11-03168)
02-28-2012: Medicare Compliance Review of University of California, San Diego, Medical Center for Calendar Years 2008 and 2009 (A-09-11-02055); Medicare Compliance Review of John Muir Medical Center, Walnut Creek, for Calendar Years 2008 Through 2010 (A-09-11-02060)
02-27-2012: Contract Provisions for the Hawaii QUEST Expanded Access Risk Share Program Not Implemented (A-09-12-02006); Federal Survey Requirements Not Always Met for Three California Nursing Homes Participating in the Medicare and Medicaid Programs (A-09-11-02019); Review of Medicare Outpatient Billing for Selected Drugs at NorthBay Medical Center (A-09-11-02071); Review of Medicare Part D Prescription Drug Event Data for Schedule II Drugs at CVS Caremark Corporation (A-09-11-02074)
02-23-2012: Audit of Palmetto GBA's Medicare Part B Final Administrative Cost Proposals for Fiscal Years 2007 Through 2009 (A-04-11-04013); Review of Michigan Medicaid Payments to Terminated Providers for Posttermination Services (A-05-10-00082)
02-14-2012: Review of Medicare Acute Care Inpatient Same-Day Readmissions at Thomas Jefferson University Hospitals, Inc. (A-03-11-00008)
02-13-2012: Review of Medicaid Payments for Nonemergency Medical Transportation Services Claims Submitted by Providers in New York State (A-02-09-01024); Pilot Project to Obtain Missing Documentation Identified in the Fiscal Year 2010 CERT Program (A-01-11-00502)
02-10-2012: Review of Outpatient Claims Processed by Wisconsin Physicians Service That Included Procedures for the Insertion of Multiple Units of the Same Type of Medical Device in Calendar Years 2008 and 2009 (A-01-11-00532)
02-09-2012: Medicare Compliance Review of Riverside Methodist Hospital for Calendar Years 2008 Through 2010 (A-05-11-00058); Medicare Compliance Review of St. Vincent's Medical Center for Calendar Years 2009 and 2010 (A-01-11-00517)
02-06-2012: Review of Outpatient Brachytherapy Medicare Payments to Carolinas Medical Center (A-04-11-06135); Review of Nebraska's Medicaid Payments for Dual Eligible Individuals' Medicare Part A Deductibles and Coinsurance (A-07-11-03161)
02-01-2012: Review of Pension Costs Claimed for Wisconsin Physicians Service Insurance Corporation for Fiscal Years 1990 to 2007 (A-07-11-00369); Review of the Pension Segmentation Requirements for the Represented Employees' Retirement Income Plan at Wisconsin Physicians Service Insurance Corporation for the Period of August 1, 1998, to December 31, 2007 (A-07-11-00356); Medicare Compliance Review of Kendall Regional Medical Center for Calendar Years 2009 and 2010 (A-04-11-07022); Medicare Compliance Review of Springhill Medical Center for Calendar Years 2008 and 2009 (A-04-11-03067)
01-27-2012: Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by TrailBlazer Health Enterprises, LLC, in Jurisdiction 4 for the Period January 1, 2006, Through June 30, 2009 (A-06-10-00045)
01-26-2012: Oregon Improperly Claimed Federal Reimbursement for Medicaid Family Planning Services Provided Under the Family Planning Expansion Project (A-09-11-02010)
01-23-2012: Review of Acute Care Inpatient Same-Day Readmissions at St. Mary's Hospital (A-03-11-00009)
01-19-2012: Review of Medicaid Payments for School-Based Health Services Made to Manchester, New Hampshire (A-01-10-00014)
01-18-2012: Review of Illinois' Reporting of Fund Recoveries in the Appeals Process on the Form CMS-64 (A-05-11-00052); Review of Controls at SilverScript Insurance Company to Ensure Adherence to Formularies (A-07-11-06029)
01-12-2012: Review of Medicaid Personal Care Claims Submitted by Providers in New Jersey (A-02-09-01002)
01-05-2012: Review of Oklahoma Collections for the Medical Assistance Program for Calendar Years 2004 Through 2009 (A-06-10-00057); Review of Resident Data Reported in the Intern and Resident Information System for Medicare Cost Reports Submitted to Highmark Medicare Services, Inc. (A-02-09-01019); Review of Medicare Acute Care Inpatient Same-Day Readmissions at University of Pittsburgh Medical Center Presbyterian Shadyside Hospital (A-03-10-00013)
01-04-2012: Medicare Compliance Review of Broward General Medical Center for Calendar Years 2008 and 2009 (A-04-11-07021); Medicare Compliance Review of MetroWest Medical Center for Calendar Years 2009 and 2010 (A-01-11-00513)

2011

12-29-2011: Review of Medicaid Personal Care Claims Submitted by Providers in New Jersey (A-02-09-01002)
12-23-2011: Review of Excluded Providers in the Medicare Part D Program (A-07-10-06004)
12-21-2011: Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by NHIC, Corp., in Jurisdiction 14 for the Period January 1, 2006, Through June 30, 2009 (A-01-10-00502)
12-20-2011: Review of Arkansas' Reporting Fund Recoveries for Federal and State Medicaid Programs on the CMS-64 Report for State Fiscal Year 2009 (A-06-10-00051)
12-19-2011: Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by Pinnacle in Jurisdiction 7 for the Period January 1, 2006, Through June 30, 2009 (A-06-10-00046)
12-16-2011: Review of Medicare Outpatient Billing for Selected Drugs at Marian Medical Center (A-09-11-02056); Review of Medicare Outpatient Billing for Selected Drugs at Eisenhower Medical Center (A-09-11-02066)
12-15-2011: Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by National Government Services, Inc., in Jurisdiction 6 - Illinois and Wisconsin for the Period January 1, 2006, Through June 30, 2009 (A-05-10-00025)
12-14-2011: Review of Medicare Part D Prescription Drug Event Data for Schedule II Drugs at Hawaii Medical Service Association (A-09-11-02028)
12-13-2011: Review of Medicaid Payments to Excluded or Terminated Durable Medical Equipment Suppliers in Florida During Calendar Year 2009 (A-04-11-07020)
12-12-2011: Northwestern Memorial Hospital in Chicago, Illinois, Met Applicable Medicare Payment Requirements for Yttrium-90 Brachytherapy Claims (A-04-11-06139)
12-05-2011: Review of Medicare Outpatient Billing for Selected Drugs at Dominican Hospital (A-09-11-02046)
11-30-2011: Medicare Compliance Review of Tallahassee Memorial HealthCare, Inc. for Calendar Years 2009 and 2010 (A-04-11-08003); Medicare Compliance Review of Norwood Hospital for the Period July 2008 Through June 2010 (A-01-11-00510); Review of Medicare Payments Exceeding Charges by $500 to $1,000 for Outpatient Services Processed by National Government Services but Transitioned to Palmetto GBA, LLC, in Jurisdiction 11 for the Period January 1, 2006, Through June 30, 2009 (A-03-11-00005); Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by National Government Services but Transitioned to Palmetto GBA, LLC, in Jurisdiction 11 for the Period January 1, 2006, Through June 30, 2009 (A-03-10-00005); Review of Medicaid Payments for Nonemergency Medical Transportation Services Claims Submitted by Providers in New York City (A-02-08-01017)
11-29-2011: Review of Medicare Outpatient Billing for Selected Drugs at Sierra Nevada Memorial Hospital (A-09-11-02061)
11-28-2011: Audit of Medicare Part B Administrative Costs for the Period October 1, 2006, Through September 30, 2008, at Wisconsin Physicians Service Insurance Corporation (A-05-09-00096); Review of Medicare Outpatient Billing for Selected Drugs at Enloe Medical Center (A-09-11-02062); Review of Medicare Outpatient Billing for Selected Drugs at Providence Centralia Hospital (A-09-11-02059); Review of Medicare Outpatient Billing for Selected Drugs at Yakima Valley Memorial Hospital (A-09-11-02058); Place-of-Service Overpayments Refund Verification for Boston Medical Center for Calendar Years 2006 Through 2010 (A-01-11-00508); Review of the Centers for Medicare & Medicaid Services' Audits of Part D Sponsors' Financial Records (A-03-10-00007)
11-22-2011: Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by First Coast Service Options, Inc., in Jurisdiction 9 for the Period January 1, 2008, Through June 30, 2009 (A-04-10-06128); Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by Cahaba Government Benefit Administrators, LLC, in Jurisdiction 10 for the Period January 1, 2008, Through June 30, 2009 (A-04-10-06127); Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by Cahaba Government Benefit Administrators, LLC, in Jurisdiction 10 for the Period January 1, 2006, Through December 31, 2007 (A-04-10-06121); Review of Blue Cross and Blue Shield of Georgia, Inc.'s Medicare Part A Termination Costs for the Period May 5, 2009, Through June 30, 2010 (A-04-10-00075)
11-17-2011: Review of Medicare Outpatient Billing for Selected Drugs at Los Robles Hospital & Medical Center (A-09-11-02065); Oregon's Internal Controls Were Substantially Adequate To Prevent Medicaid Payments to Excluded Providers (A-09-11-02042)
11-15-2011: Review of the Qualified Pension Plan at Blue Cross Blue Shield of Nebraska, A Terminated Medicare Contractor, for the Period January 1, 1994, to November 30, 2007 (A-07-11-00370); Review of Pension Costs Claimed for Medicare Reimbursement by Blue Cross Blue Shield of Nebraska for Fiscal Years 1995 Through 2008 (A-07-11-00371)
11-10-2011: Review of Personal Care Services Claimed Under Maryland's Medicaid State Plan (A-03-11-00200)
11-04-2011: Review of Medicaid Administrative Costs Claimed by New Jersey for State Fiscal Year 2007 (A-02-07-01050)
11-02-2011: Review of Outpatient Claims Processed by National Government Services, Inc., That Included Procedures for the Insertion of Multiple Units of the Same Type of Medical Device in Calendar Years 2008 and 2009 (A-01-11-00524)
11-01-2011: Review of the Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program in Nebraska (A-07-11-02759)
10-27-2011: Review of National Government Services' Final Administrative Cost Proposal for Fiscal Year 2007 (A-05-10-00074)
10-25-2011: Medicare Compliance Review of St. John's Hospital for Calendar Years 2008 and 2009 (A-07-11-01098)
10-24-2011: Review of Cleveland Clinic's Claims for Procedures That Included the Replacement of Medical Devices During 2008 and 2009 (05-11-00012); Review of Outpatient Claims Processed by Noridian Administrative Services That Included Procedures for the Insertion of Multiple Units of the Same Type of Medical Device in Calendar Years 2008 and 2009 (A-01-11-00528)
10-20-2011: Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by National Government Services in Jurisdiction 15 for the Period January 1, 2006, Through June 30, 2009 (A-05-10-00016)
10-19-2011: Review of Riverbend Government Benefits Administrator's Medicare Part A Termination Costs for the Period August 4, 2009, Through March 3, 2010 (A-04-10-00071)
10-18-2011: Review of Drug Costs to Medicaid Pharmacies and Their Relation to Benchmark Prices (A-06-11-00002)
10-17-2011: Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by TriSpan but Transitioned to Pinnacle in Jurisdiction 7 for the Period January 1, 2006, Through June 30, 2009 (A-06-10-00048); Audit of Medicare Part A and Part B Administrative Costs for the Period October 1, 2006, Through September 30, 2007 at National Government Services-Medicare Contractor Numbers 00130 and 00630 (A-05-10-00075); Review of Prescribed Drug Costs in the Colorado Medicaid Family Planning Program (A-07-11-01095)
10-14-2011: Review of Institutional Medicare Beneficiaries' Minimum Data Set Classification for Harmony Health Plan of Illinois, Inc. (H1416) for Calendar Year 2008 (A-05-11-00086)
10-13-2011: Multi-State Review of Centers for Medicare & Medicaid Services Medicaid Drug Expenditure Controls (A-07-10-06003)
10-12-2011: Review of Medicaid Claims Submitted by Continuing Day Treatment Providers in New York State Audit (A-02-09-01023)
10-07-2011: Review of Medicare Payments for NovoSeven Coagulation Factor VIIA to Indiana Hemophilia and Thrombosis Center, Inc. From January 1, 2008, Through December 31, 2009 (A-05-11-00027)
10-06-2011: Review of Medicare Outpatient Billing for a Selected Drug at Madison Memorial Hospital (A-09-11-02051); Review of Medicare Outpatient Billing for Selected Drugs at Central Peninsula General Hospital (A-09-11-02033)
10-05-2011: Review of Medicare Payments Exceeding Charges By $500 to $1,000 for Outpatient Services Processed by Palmetto GBA, LLC, in Jurisdiction 11 for the Period January 1, 2006, Through June 30, 2009 (A-03-11-00006); Review of Costs for Inpatient Services in the Colorado Medicaid Family Planning Program Audit (A-07-11-01097); Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by Palmetto GBA, LLC, in Jurisdiction 11 for the Period January 1, 2006, Through June 30, 2009 Audit (A-03-10-00006); Review of Select Medicare Payments Exceeding Charges for Outpatient Services Processed by National Government Services in Jurisdiction 13 for the Period January 1, 2006, Through June 30, 2009 Audit (A-02-10-01008)
10-04-2011: Review of American Recovery and Reinvestment Act of 2009 Medicaid Prompt Pay Requirements in Nebraska (A-07-11-06019); Review of Costs Claimed for Selected High-Dollar Outpatient Services in the Colorado Medicaid Program During the Period January 1, 2007, Through December 31, 2009 (07-11-04178)
10-03-2011: Review of Pension Costs Claimed for Medicare Reimbursement by Blue Cross Blue Shield of Mississippi for Fiscal Years 1997 Through 2009 (A-07-11-00350); Review of the Qualified Pension Plan at Blue Cross Blue Shield of Mississippi, A Terminated Medicare Contractor, for the Period January 1, 1996, to September 30, 2009 (A-07-11-00349)
09-29-2011: Verification of Saint Francis Medical Center's Refund of Place-of-Service Overpayments for Calendar Years 2009 Through 2010 (A-01-11-00512)
09-26-2011: Medicare Compliance Review of Baystate Medical Center for Calendar Years 2008 and 2009 (A-01-11-00500)
09-23-2011: Review of Medicaid Hospice Payments at Evercare Hospice & Palliative Care for State Fiscal Years 2007 Through 2009 (A-01-10-00012)
09-22-2011: Review of Outpatient Claims Processed by First Coast Service Options, Inc., That Included Procedures for the Insertion of Multiple Units of the Same Type of Medical Device in Calendar Years 2008 and 2009 (A-01-11-00523); Review of Medicare Contractor Information Security Program Evaluations for Fiscal Year 2009 (A-18-10-30300)
09-21-2011: Unidentified and Unreported Federal Deficiencies in California's Complaint Surveys of Nursing Homes (A-09-09-00114); Medicare Compliance Review of University of California, San Francisco, Medical Center for Calendar Years 2008 and 2009 (A-09-11-02034)
09-20-2011: Review of Medicare Part D Prescription Drug Event Data for Schedule II Drugs at Health Net, Inc. (A-09-10-02046)
09-14-2011: Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by Noridian Administrative Services, LLC, in Jurisdiction 6 - Minnesota for the Period January 1, 2006, Through June 30, 2009 (A-05-10-00020); Review of Outpatient Claims Processed by Palmetto GBA That Included Procedures for the Insertion Of Multiple Units of the Same Type of Medical Device in Calendar Years 2008 and 2009 (A-01-11-00520)
09-13-2011: Review of Medicaid Credit Balances at Private Diagnostic Clinic, PLLC, at Duke University Medical Center as of March 31, 2010 (A-04-10-04007)
09-12-2011: Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by National Government Services in Jurisdiction 8 for the Period January 1, 2006, Through June 30, 2009 (A-05-10-00017)
09-07-2011: Review of Place-of-Service Coding for Physician Services Processed by Medicare Part B Contractors During Calendar Year 2009 (A-01-10-00516); Review of Place-of-Service Coding for Physician Services Processed by Medicare Part B Contractors During Calendar Year 2008 (A-01-10-00513)
09-06-2011: Review of Medicare Part B Avastin and Lucentis Treatments for Age-Related Macular Degeneration (A-01-10-00514)
08-31-2011: Audit of Oregon's Medicaid Management Information System Expenditures for the Period October 1, 2007, Through September 30, 2009 (A-09-10-02017)
08-31-2011: Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by First Coast Service Options, Inc., in Jurisdiction 9 for the Period January 1, 2006, Through December 31, 2007 (A-04-10-06120)
08-29-2011: Review of Medicaid Residential Rehabilitation Services for Children in Maryland (A-03-08-00209); Review of Outpatient Claims Processed by Cahaba Government Benefit Administrators That Included Procedures for the Insertion of Multiple Units of the Same Type of Medical Device in Calendar Years 2008 and 2009 (A-01-11-00522)
08-23-2011: Review of Aetna, Inc., Pharmacy Audit Recoveries for Medicare Part D Drugs Dispensed in Calendar Year 2008 (A-03-11-00001)
08-22-2011: Review of Provider Compliance With the District of Columbia's Medicaid Durable Medical Equipment Program Standards for Physical Presence (A-03-11-00202)
08-16-2011: Review of Blue Cross and Blue Shield of Georgia, Inc.'s Medicare Final Administrative Cost Proposals for the Period October 1, 2006, Through May 4, 2009 (A-04-10-00068)
08-12-2011: Review of Medicare Payments Exceeding Charges By $500 to $1,000 for Outpatient Services Processed by Highmark Medicare Services in Jurisdiction 12 for the Period January 1, 2006, Through June 30, 2009 (A-03-11-00004); Nationwide Rollup Report for Medicaid Drug Rebate Collections (A-06-10-00011); Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by Highmark Medicare Services in Jurisdiction 12 for the Period January 1, 2006, Through June 30, 2009 (A-03-10-00004)
08-10-2011: Review of Outpatient Claims Processed by Trailblazer Health Enterprises, LLC That Included Procedures for the Insertion of Multiple Units of the Same Type of Medical Device in Calendar Years 2008 and 2009 (A-01-10-00515)
08-04-2011: Review of Humana, Inc., Preferred Provider Organization Controls Over Durable Medical Equipment Suppliers in Florida (A-04-10-07017)
08-03-2011: Review of Select Medicaid Inpatient Psychiatric Hospital Service Requirements for One Illinois State-Owned Psychiatric Hospital During the Period January 1, 2000, Through December 31, 2009 (A-05-10-00046)
08-02-2011: Review of Arkansas Medicaid Prescription Drug Claims for the Quarter Ending December 31, 2008 (A-06-09-00093)
07-28-2011: Review of Medicaid Payments for Services Provided Under New Jersey's Section 1915(c) Community Care Waiver by Elwyn New Jersey From January 1, 2005, Through December 31, 2007 (A-02-09-01033)
07-27-2011: Medicaid Hospital Outlier Payment Followup for Fiscal Years 2004 Through 2006 (A-07-10-04160); Review of Medicare Part B Transition and Termination Costs Claimed by Group Health Incorporated (A-02-09-01027); Review of South Dakota's Buy-In of Medicare Part B Premiums for Medicaid Beneficiaries from October 2008 Through September 2009 (A-07-10-02757)
07-22-2011: Review of Costs Claimed by the State of Nebraska for Non-Emergency Medical Transportation Services Provided by Shared Mobility Coach (A-07-10-04172)
07-21-2011: Review of the Massachusetts Executive Office of Health and Human Services Buy-In of Medicare Parts A and B for the Period July 2008 Through December 2009 (A-01-11-00004)
07-20-2011: Review of Medicaid Expenditures for Medicare Part A and Part B Premiums in Missouri (A-07-10-03158)
07-19-2011: Review of Medicaid Administrative Costs Claimed for the Pennsylvania Department of Aging's Direct Care Worker Initiative (A-03-10-00206)
07-18-2011: Review of Medicaid Payments to Senior Solutions Healthcare Management and Consulting, LLC for State Fiscal Years 2007 Through 2010 (A-01-11-00003); Review of Medicare Fee-for-Service Payments Made by TrailBlazer Health Enterprises, LLC, for Medicare Advantage Enrollees During Calendar Years 2007 and 2008 (A-07-11-05013); Review of Medicare Fee-for-Service Payments Made by Palmetto Government Benefit Administrators for Medicare Advantage Enrollees During Calendar Years 2007 and 2008 (A-07-11-05012)
07-15-2011: Review of Medicaid Administrative Costs Claimed for the Pennsylvania Department of Aging's Healthy Steps Program (A-03-10-00205)
07-14-2011: Review of the Pension Segmentation Requirements for the Local 153 Pension Plan at Group Health Incorporated for the Period of April 1, 1987, to January 1, 2009 (A-07-11-00358)
07-11-2011: Medicare Compliance Review of Cape Cod Hospital for Calendar Years 2008 and 2009 (A-01-10-00530)
07-08-2011: Review of Medicare Fee-for-Service Payments Made by National Government Services, Inc., for Medicare Advantage Enrollees During Calendar Years 2007 and 2008 (A-07-11-05010)
07-06-2011: Review of Practitioner Compliance With the Requirements of the Hurricane Katrina Health-Care-Related Professional Workforce Supply Grant for the Greater New Orleans Area (A-06-09-00051); Review of the Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program in Oklahoma (A-06-09-00097)
07-05-2011: Nebraska Medicaid Payments for Personal Care Services (A-07-10-03152)
06-29-2011: Review of Medicaid Family Planning Services Claimed Under the Oregon Health Plan During the Period October 1, 2006, Through September 30, 2009 (A-09-10-02043)
06-29-2011: Review of Florida's Children's Health Insurance Program Experience Adjustment and Refund Submission Reports (A-04-10-06123)
06-28-2011: Review of Medicaid Credit Balances at Natividad Medical Center as of October 31, 2010 (A-09-11-02000)
06-28-2011: Review of Administrative Costs Claimed by Pennsylvania's Home and Community-Based Waiver for Individuals Aged 60 and Over (A-03-10-00202)
06-24-2011: Review of the Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program in Iowa (A-07-11-03165)
06-20-2011: Review of the Pension Segmentation Requirements at Blue Cross Blue Shield of Georgia for the Period January 1, 2001, to June 30, 2006 Audit (A-07-10-00344); Review of Pension Costs Claimed for Medicare Reimbursement by Blue Cross Blue Shield of Georgia for Fiscal Years 2001 Through 2005 Audit (A-07-10-00345)
06-15-2011: Review of Medicaid High-Dollar Payments for Inpatient Services in New York State From January 1, 2008, Through November 30, 2009 (A-02-10-01036)
06-14-2011: Review of CIGNA Government Services Durable Medical Equipment Regional Carrier Medicare Termination Cost Vouchers for the Period October 1, 2006, Through October 31, 2007 (A-04-07-00033)
06-03-2011: Review of Medicaid Personal Care Services Claimed by Washington State (A-09-09-00030); Review of Medicaid Personal Care Services Claims Submitted by Providers in North Carolina (A-04-10-04003)
06-02-2011: Medicare Compliance Review of Fletcher Allen Health Care for Calendar Years 2008 and 2009 (A-01-10-00527)
06-01-2011: Review of Medicaid Payments for Services Provided Under New York's Section 1915(c) Traumatic Brain Injury Waiver at Belvedere of Albany, LLC, From January 1, 2005, Through December 31, 2007 (A-02-09-01006)
05-26-2011: Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by Noridian Administrative Services, LLC, in Jurisdiction 3 for the Period January 1, 2006, Through June 30, 2009 (A-07-10-04163); Audit of HealthNow New York, Inc.'s Medicare Part B Final Administrative Cost Proposal for Fiscal Year 2008 (A-02-09-01039)
05-25-2011: Review of Additional Claims for Sterilization Procedures in the Colorado Medicaid Family Planning Program (A-07-11-01096); Review of State of Minnesota Reporting Medicaid Fraud Control Unit Funds Recoveries on the CMS-64 for the Period October 1, 2005, Through December 31, 2008 (A-05-10-00043); Review of Medicaid Hysterectomy Expenditures Claimed as Family Planning in Oklahoma for Calendar Years 2005 to 2009 (A-06-10-00047); Review of Medicaid Payments for Services Provided Under New York's Section 1915(c) Traumatic Brain Injury Waiver at Venture Forthe, Inc., From January 1, 2005, Through December 31, 2007 (A-02-09-01005)
05-24-2011: Audit of Medicare Part A Administrative Costs for the Period November 5, 2007, Through September 30, 2008 at Wisconsin Physicians Service Insurance Corporation (A-05-09-00101)
05-23-2011: Review of Termination Claim for Postretirement Benefits Made by Blue Cross Blue Shield of Mississippi (A-07-11-00359)
05-20-2011: Review of Louisiana Medicaid Inpatient Hospital Family Planning Services (A-06-10-00076)
05-18-2011: Verification of Hillcrest Baptist Medical Center's Refund of Place-of-Service Overpayments for Calendar Years 2007 Through 2009 (A-01-10-00528); Review of District of Columbia Medicaid Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Provider Enrollment Practices (A-03-10-00203); Review of Medicare Payments to Arimed Orthotics and Prosthetics, Inc., for Lower Limb Prosthetic Services for the Period January 1, 2008, Through December 31, 2009 (A-02-11-01005)
05-17-2011: Review of Medicare Payments to Prescription Drug Plans on Behalf of Deceased Enrollees (A-05-09-00027)
05-16-2011: Review of Select Medicare Conditions of Participation and Costs Claimed at Richards Memorial Hospital from October 1, 2004, Through September 30, 2007 (A-05-08-00083)
05-12-2011: Review of Medicare Contractor's Pension Segmentation Requirements at National Heritage Insurance Company for the Period January 1, 2000, to January 1, 2008 (A-07-11-00362); Review of Child Delivery Claims and Newborn Claims Included in the Kansas Medicaid Family Planning Program (A-07-10-04156); Review of Medicaid Services to Incarcerated Juveniles in the State of South Carolina During Federal Fiscal Years 2004 and 2005 (A-04-07-00034)
05-09-2011: Verification of Central Vermont Medical Center's Refund of Place-of-Service Overpayments for Calendar Years 2007-2010 (A-01-11-00507)
05-06-2011: Review of Physician Therapy Services Provided During Home Health Episodes in Calendar Year 2008 (A-01-09-00530)
05-03-2011: Review of the Hospital of Saint Raphael's Claims for Inpatient & Outpatient Procedures That Included the Replacement of Medical Devices for Calendar Years 2008 and 2009 (A-01-10-00512)
04-28-2011: Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by Noridian Administrative Services, LLC, in Jurisdiction 2 for the Period January 1, 2006, Through June 30, 2009 (A-09-10-02019)
04-27-2011: Review of High-Dollar Payments Processed by National Government Services for Long-Term Care Inpatient Services Provided Between October 1, 2006, and December 31, 2007 (A-05-09-00100)
04-11-2011: Review of Pension Costs Claimed for Medicare Reimbursement by Mutual of Omaha Insurance Company for Fiscal Years 1992 Through 2007 (A-07-11-00348); Review of the Qualified Pension Plan at Mutual of Omaha Insurance Company, a Terminated Medicare Contractor, for the Period January 1, 1992, to January 1, 2008 (A-07-11-00347)
04-07-2011: Review of the Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program in New York State for the Quarter Ended September 30, 2009 (A-02-10-01020); Review of Pension Costs Claimed for Medicare Reimbursement by Cahaba Government Benefit Administrators, LLC, for Fiscal Years 2003 Through 2009 (A-07-11-00361); Review of Medicare Contractor's Pension Segmentation Requirements at Cahaba Government Benefit Administrators, LLC, for the Period January 1, 2002, to January 1, 2009 (A-07-11-00360); Review of the Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program in Puerto Rico for the Quarter Ended September 30, 2009 (A-02-10-01038); Review of the Maine Department of Health and Human Services Buy-In of Medicare Parts A and B for the Period July 1, 2008, Through December 31, 2009 (A-01-10-00013)
03-31-2011: Review of Medicaid Payments for Deceased Recipients in New Mexico (A-06-10-00093)
03-18-2011: Family Planning Services Claimed by Illinois From October 1, 2007, Through September 30, 2009 (A-05-10-00053)
03-17-2011: Review of CIGNA Government Services Durable Medical Equipment Regional Carrier Final Administrative Cost Proposals for Fiscal Years 2004 Through 2006 (A-04-07-00032)
03-16-2011: Review of CIGNA Government Services Part B Final Administrative Cost Proposals for Fiscal Years 2004 Through 2006 (A-04-07-00031)
03-11-2011: Family Planning Services Claimed by Ohio from October 1, 2007, through September 30, 2009 (A-05-10-00035)
03-02-2011: Review of Erectile Dysfunction Drugs in the Medicare Part D Program (A-07-10-03143); Medicare Compliance Review of South Shore Hospital for Calendar Years 2008 and 2009 (A-01-10-00521); Review of Colorado's Monitoring of Community Services Block Grants (A-07-10-02761)
02-28-2011: Review of Family Planning Services Claimed by Washington State During the Period October 1, 2005, Through September 30, 2008 (A-09-09-00049); Review of the Pension Segmentation Requirements for the Managerial Pension Plan at Wisconsin Physicians Service Insurance Corporation for the Period of January 1, 1989, to January 1, 2008 (A-07-10-00336)
02-24-2011: Review of Jurisdiction 5 Payments for Inpatient Rehabilitation Facility Claims Billed with Patient Status Code 05 for Calendar Year 2007 (A-01-10-00518)
02-17-2011: Review of Medicaid Hospice Payments Made by Massachusetts for State Fiscal Years 2007 and 2008 (A-01-10-00004); Review of Medicare Contractor Information Security Program Evaluations for Fiscal Year 2008 (A-18-09-30200); Review of Medicare Claims for Home Blood-Glucose Test Strips and Lancets-Durable Medical Equipment Medicare Administrative Contractor for Jurisdiction B (A-09-08-00044)
02-16-2011: Audit of Cooperativa de Seguros de Vida de Puerto Rico's Final Administrative Cost Proposal for Fiscal Year 2009 (A-02-10-01019)
02-14-2011: Review of Federal Reimbursement Claimed by North Carolina for Medicaid Personal Care Services Claims Submitted by Shipman Family Home Care, Inc. (A-04-09-04041)
02-11-2011: Review of Medicaid Excluded Providers in Iowa (A-07-10-03149)
02-07-2011: Review of Ohio's Payment Error Rate Measurement Corrective Action Plan (A-05-10-00063)
02-04-2011: Review of Medicaid Excluded Providers in Missouri (A-07-10-03153); Review of Medicare Claims for Home Blood-Glucose Test Strips and Lancets-Durable Medical Equipment Medicare Administrative Contractor for Jurisdiction D (A-09-08-00046)
02-03-2011: Review of Termination Costs Claimed by Cooperativa de Seguros de Vida de Puerto Rico (A-02-10-01028)
02-02-2011: Oversight of the Prescriber Identifier Field in Prescription Drug Event Data for Schedule II Drugs (A-14-09-00302)
01-31-2011: Review of Medicare Part A Bad Debts at Broughton Hospital for Fiscal Year Ended June 30, 2005 (A-04-09-04038); Review of Medicare Part A Bad Debts at John Umstead Hospital for Fiscal Year Ended June 30, 2005 (A-04-09-04034)
01-26-2011: Review of Alabama's Compliance With the Reserve or Rainy Day Fund Requirement for the Increased Federal Medical Assistance Percentage Under the American Recovery and Reinvestment Act (A-04-10-03058)
01-24-2011: Followup Review of Medicaid Cost-of-Care Overpayments Made to Nursing Facilities in the State of Maine (A-01-10-00008)
01-21-2011: Review of Medicare Claims for Home Blood-Glucose Test Strips and Lancets-Durable Medical Equipment Medicare Administrative Contractor for Jurisdiction C (A-09-08-00045)
01-20-2011: Review of High-Dollar Payments for Medicare Outpatient Claims Processed by TrailBlazer Health Enterprises, LLC, for the Period January 1, 2007, Through December 31, 2008 (A-06-10-00024)
01-19-2011: Reconciliation of North Carolina Division of Medical Assistance's Form CMS-64 for the Medicaid Family Planning Program (A-04-10-01092)
01-18-2011: Rollup Review of Impact on Medicare Program for Investment Income That Medicare Advantage Organizations Earned and Retained From Medicare Funds in 2007 (A-07-10-01080)
01-13-2011: Review of TrailBlazer Health Enterprises, LLC Payments for Inpatient Rehabilitation Facility Claims Billed with Patient Status Code 05 for Calendar Year 2007 (A-01-10-00500)
01-04-2011: Review of the Qualified Pension Plan at Cooperativa de Seguros de Vida de Puerto Rico, A Terminated Medicare Contractor, for the Period January 1, 2007, to December 31, 2008 (A-07-10-00343); Review of Pension Costs Claimed for Medicare Reimbursement by Cooperativa de Seguros de Vida de Puerto Rico for Fiscal Years 2007 Through 2009 (A-07-10-00342)
01-03-2011: Review of New York's Medicaid Rehabilitative Services Claims Submitted by Community Residence Providers (A-02-08-01006)

2010

12-28-2010: Review of the Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program in Indiana for the Quarter Ending March 31, 2009 (A-05-09-00091); Audit of Cooperativa de Seguros de Vida de Puerto Rico's Final Administrative Cost Proposal for Fiscal Year 2008 (A-02-09-01031); Review of Jurisdiction 10 Payments for Inpatient Rehabilitation Facility Claims Billed with Patient Status Code 05 for Calendar Year 2007 (A-01-10-00517)
12-22-2010: Review of Health Maintenance Organization Controls Over Durable Medical Equipment Suppliers in Florida (A-04-10-07010); Review of Medicaid High-Dollar Payments for Inpatient Services in Illinois From January 1, 2006 Through September 30, 2007-Hospitals With Five or More High-Dollar Payments (A-05-09-00049); Review of Illinois' Prompt Pay Compliance Under the American Recovery and Reinvestment Act of 2009 From January 1, 2009, Through September 30, 2009 (A-05-09-00083); Review of American Recovery and Reinvestment Act of 2009: Medicaid Prompt Pay Requirements in New Hampshire (A-01-10-00009)
12-17-2010: Payments for Ambulatory Surgical Center Services Provided to Beneficiaries in Skilled Nursing Facility Stays Covered Under Medicare Part A in Calendar Years 2006 through 2008 (A-01-09-00521)
12-15-2010: Review of Washington State's Medicaid Claims for Nonqualified Aliens (A-09-09-00039)
12-14-2010: Review of Lahey Clinic's Claims for Outpatient Procedures That Included the Replacement of Medical Devices for Calendar Years 2007 and 2008 (A-01-10-00506)
12-13-2010: Review of Kansas's Compliance With the Federal Prompt Payment Requirements (A-07-10-01084)
12-06-2010: Review of Massachusetts General Hospital Claims for Outpatient Procedures That Included the Replacement of Medical Devices for Calendar Years 2007 and 2008 (A-01-10-00501)
12-03-2010: Review of Indiana Medicaid Intraoral Radiographs Paid in Excess of Reimbursement Limits During the Period January 1, 2009, Through December 31, 2009 (A-05-10-00070)
12-01-2010: Review of Colorado Medicaid Payments for Home Health Agency Claims Paid to Personal Assistance Services of Colorado (A-07-10-01087)
11-30-2010: Review of Yale New Haven Hospital Claims for Outpatient Procedures that Included the Replacement of Medical Devices for Calendar years 2007 and 2008 (A-01-10-00504)
11-19-2010: Review of UMass Memorial Medical Center Claims for Outpatient Procedures that Included the Replacement of Medical Devices for Calendar Years 2007 and 2008 (A-01-10-00503)
11-09-2010: Review of Colorado Medicaid Payments for Home Health Agency Claims (A-07-10-01083)
11-08-2010: Review of Selected Payments for Inpatient Services Processed by Noridian Administrative Services, LLC, for Calendar Years 2006 Through 2008 (A-07-10-04164); Review of Contract Signatures for the Hurricane Katrina Health-Care-Related Professional Workforce Supply Grant for the Greater New Orleans Area (A-06-09-00053)
11-04-2010: Review of Personal Care Services Provided by Tri-State Home Health and Equipment Services, Inc., in the District of Columbia (A-03-08-00207); Review of Sterilization Procedures in the Kansas Family Planning Program (A-07-10-04162)
11-03-2010: Verification of Mid Coast Hospital's Refund of Place-of-Service Overpayments for Calendar Years 2004-2007 (A-01-10-00523)
11-01-2010: Review of Terminated Drugs in the Medicare Part D Program (A-07-09-03130)
10-29-2010: Review of Medicare Contractor Payments for Neulasta Injections in Alaska, Arizona, and Washington for Calendar Years 2004 through 2007 (A-09-10-02044); Review of the Pension Segmentation Requirements for the Employees' Pension Plan at Wisconsin Physicians Service Insurance Corporation for the Period of January 1, 1989, to January 1, 2008 (A-07-10-00335)
10-28-2010: Review of Payments Exceeding Charges for Outpatient Services Processed by Wisconsin Physicians Service Insurance Corporation for Calendar Years 2004 Through 2007 (A-07-10-04167)
10-26-2010: Oversight and Evaluation of the Fiscal Year 2008 Payment Error Rate Measurement Program (A-06-09-00037); Review of Indiana's Reporting Fund Recoveries for Federal and State Medicaid Programs on the Form CMS-64 for Federal Fiscal Years 2000 Through 2008 (A-05-09-00021)
10-22-2010: Review of Nonemergency Medical Transportation Costs in the State of Texas (Transportation Provided by the League of United Latin American Citizens - Project Amistad) (A-06-09-00090)
10-20-2010: Review of Medicaid Personal Care Service Claims Submitted by Clarity Care, Inc., and Claimed by Wisconsin from July 1, 2006, Through June 30, 2008 (A-05-10-00019)
10-13-2010: Review of Resident Data Reported in the Intern and Resident Information System for Medicare Cost Reports Submitted to National Government Services Audit (A-02-09-01021); Review of Medicaid Personal Care Services Claims Made by Providers in New York State Audit (A-02-08-01005)
10-12-2010: Review of High-Dollar Payments for Medicare Outpatient Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1, 2007, Through December 31, 2008 (A-06-10-00034)
10-07-2010: Centers for Medicare & Medicaid Services' Use of Medicare Fee-for-Service Error Rate Data To Identify and Focus on Error-Prone Providers (A-05-08-00080); Review of Nebraska Medicaid Payments for Home Health Agency Claims Audit (A-07-09-01077)
10-05-2010: Review of Medicare Part B Carrier Payments for Neulasta Injections in California and Hawaii for Calendar Years 2004 Through 2007 Audit (A-09-10-02042)
10-01-2010: Review of California Transplant Donor Network's Reported Fiscal Year 2007 Organ Acquisition Overhead Costs and Administrative and General Costs Audit (A-09-09-00087)

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