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Conflicting CMS Guidance and Federal Statutory Requirements Cost Medicare $380 Million Over a 6-Year Period for Organs Not Transplanted Into Medicare Enrollees

Medicare Home Health Agency Provider Compliance Audit: Deistic Home Health Care, Inc.

Hospice of the Valley - West Received at Least $8.6 Million in Medicare Overpayments

Medicare Could Have Saved $255.1 Million Related to Hospice Services for Certain New Hospice Enrollees

Jefferson Regional Medical Center Received at Least $4.7 Million in Medicare Overpayments

A Small Southeastern Hospital Had Effective Cybersecurity Controls To Prevent, Detect, and Respond To Cyberattacks

Lehigh Valley Hospital Received At Least $17.8 Million in Medicare Overpayments

Unclear Medicare Requirements Led to Differing Interpretations of Inpatient Rehabilitation Facility Documentation, Coverage, and Billing Requirements

Utilization Trends and Medicare Part B Billing for Office-Based Peripheral Vascular Procedures Raise Questions About Program Integrity

Medicare Home Health Agency Provider Compliance Audit: VNS Health

Nursing Homes Inappropriately Diagnosed Residents with Schizophrenia to Mask the Misuse of Antipsychotic Drugs

Nursing Homes’ Inappropriate Use of Antipsychotic Drugs Poses a Risk to Residents

Emergency Department Procedure Codes Used on Medicare Claims for Services Billed With Nonemergency Department Sites of Service Resulted in Over $15 Million in Improper and Potentially Improper Payments

Psychosocial Characteristics and Their Association With Kidney Transplant Programs Waitlist Rates

Sarasota Memorial Hospital Received At Least $12.1 Million in Medicare Overpayments

Medicare Home Health Agency Provider Compliance Audit: Alternate Solutions Homecare of Dayton

A Large Southeastern Hospital Could Improve Certain Security Controls to Enhance Its Ability to Prevent and Detect Cyberattacks

Medicare Home Health Agency Provider Compliance Audit: Guardian Home Care, LLC

Nearly All Skilled Nursing Services Provided by Pinnacle Multicare Nursing and Rehabilitation Center Did Not Meet Medicare Payment Requirements

Medicare Improperly Paid Suppliers $22.7 Million Over 7 Years for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Provided to Enrollees During Inpatient Stays

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