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

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

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

Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Priority Health (Contract H2320) Submitted to CMS

Medicare Home Health Agency Provider Compliance Audit: VNS Health

Indiana Generally Ensured That Selected Nursing Homes Complied With Federal Background Check Requirements

Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Gateway Health Plan, Inc., (Contract H5932) Submitted to CMS

Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Blue Cross and Blue Shield of Alabama (Contract H0104) Submitted to CMS

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

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

Essence Healthcare, Inc., Did Not Comply With Federal Requirement for Reporting Direct and Indirect Remunerations for Contract Years 2017 Through 2020

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

New Jersey Should Improve Its Oversight of Nursing Homes’ Compliance With Background Check Requirements

Medicare Advantage Compliance Audit of Specific Diagnosis Codes Humana Health Benefit of Louisiana (Contract H1951) Submitted to CMS

Florida Retina Institute Generally Met Medicare Requirements for Ophthalmology Services Provided on the Same Day as Eye Injections

Medicare Improperly Paid Selected Optometrists for Services Provided to Enrollees at Nursing Facilities

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

CMS’s Special Focus Facility Program for Nursing Homes Has Not Yielded Lasting Improvements

Medicare Home Health Agency Provider Compliance Audit: VNA Care Network

Nursing Homes Failed To Report 43 Percent of Falls With Major Injury and Hospitalization Among Their Medicare-Enrolled Residents

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