OIG-OAS Reports Archive: FY2011, FY2010, FY2009 Audit Reports - Make Your Revenue Smarter

OIG-OAS Reports Archive: FY2011, FY2010, FY2009 Audit Reports - Make Your Revenue Smarter

OIG-OAS Reports Archive: FY2011, FY2010, FY2009 Audit Reports

On , in Archives, by AQ-IQ LLC

Below are direct links to the OIG site. Click on the links to see an Executive Summary of each report, with a download link below the summary text.

FY2011

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)

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)

FY2010
09-27-2010: Review of New Jersey’s Compliance With the Reserve or Rainy Day Fund Requirement for the Increased Federal Medical Assistance Percentage Under the American Recovery and Reinvestment Act Audit (A-02-09-01030)
09-22-2010: Review of Medicaid Payments at Age Institute of Massachusetts, Inc. for State Fiscal Years 2007 Through 2009 Audit (A-01-10-00006)
09-17-2010: Review of Michigan’s Reporting Fund Recoveries for State Medicaid Programs on the Form CMS-64 for the First Quarter 2010 Audit (A-05-10-00061); Review of Michigan’s Reporting Fund Recoveries for State Medicaid Programs on the Form CMS-64 for Federal Fiscal Years 2008 and 2009 Audit (A-05-09-00103); Review of New Jersey’s Medicaid Management Information System Expenditures for the Period January 1, 2006, Through December 31, 2007 (A-02-08-01015)
09-16-2010: Review of Jurisdiction D Medicare Payments for Selected Durable Medical Equipment Claims With the KX Modifier for Calendar Year 2007 (A-09-09-00111)
09-15-2010: Review of New Jersey’s Medicaid School-Based Health Claims Submitted by Public Consulting Group, Inc. (A-02-07-01052); Review of Concurrently Enrolled State Children’s Health Insurance Program and Medicaid Beneficiaries in Florida From April 1, 2007, Through March 31, 2008 (A-04-09-03046); Review of Medicare Payments to D and M Sales, LLC, for Power Mobility Devices for Calendar Years 2006-2008 (A-09-10-02005)
09-14-2010: Review of Medicaid Personal Care Service Claims Submitted by Dane County Department of Human Services and Claimed by Wisconsin From July 1, 2006, Through June 30, 2008 (A-05-10-00018); Review of Medicaid Funding for Emergency Services Provided to Nonqualified Aliens (A-04-07-07032)
09-13-2010: Review of Medicaid Credit Balances at Northridge Healthcare and Rehabilitation as of June 30, 2009 (A-06-09-00105); Review of Jurisdiction A Medicare Payments for Selected Durable Medical Equipment Claims With the KX Modifier for Calendar Year 2007 (A-01-09-00528)
09-10-2010: Review of Pension Costs Claimed for Medicare Reimbursement by Blue Cross Blue Shield of Oklahoma for Fiscal Years 2000 Through 2008 (A-07-10-00338); Review of the Qualified Pension Plan at Blue Cross Blue Shield of Oklahoma, a Terminated Medicare Contractor, for the Period January 1, 1999, to February 29, 2008 (A-07-10-00337); Review of Medicaid Settlement of the Medical University of South Carolina Medical Center for Fiscal Year Ended June 30, 2008 (A-04-10-06125)
09-08-2010: Review of Medicare Parts A and B Services Billed With Dates of Service After Beneficiaries’ Deaths (A-01-09-00519)
09-07-2010: Review of Pennsylvania’s Compliance With the Prompt Payment Requirements of the American Recovery and Reinvestment Act of 2009 (A-03-09-00204)
09-03-2010: Review of Medicaid Overpayments Identified by the Illinois Division of Rehabilitation Services for Services Provided From December 1, 1999, Through December 31, 2008 (A-05-10-00013)
09-01-2010: Review of Vermont’s Compliance With the “Reimbursement of State Costs for Provision of Part D Drugs” Medicare Demonstration Project Requirements (A-01-10-00600)
08-30-2010: Review of Jurisdiction B Medicare Payments for Selected Durable Medical Equipment Claims With the KX Modifier for Calendar Year 2007 (A-05-09-00094); Review of Medicare Claims for Home Blood-Glucose Test Strips and Lancets—Durable Medical Equipment Medicare Administrative Contractor for Jurisdiction A (A-09-08-00043)
08-26-2010: Review of Medicare Part A Bad Debts at Kindred Healthcare – Bay Area for Fiscal Year Ended August 31, 2005 (A-04-09-04033)
08-23-2010: Review of Colorado Medicaid Payments for Home Health Agency Claims Paid to Professional Pediatric Home Care, Inc. (A-07-10-01088); Review of Nebraska Medicaid Payments for Home Health Agency Claims Paid to First Care Home Health of Eastern Nebraska, Inc. (A-07-10-01086)
08-20-2010: Review of Medicaid Disproportionate Share Hospital Payments Made By Connecticut to Hartford Hospital for Federal Fiscal Years 2007 and 2008 (A-01-09-00012)
08-18-2010: Review of Selected Claims Included in the Kansas Medicaid Family Planning Program (A-07-09-04146)
08-17-2010: Review of Minnesota’s Reporting Fund Recoveries for Federal and State Programs on the CMS-64 for the Period October 1, 2005, Through December 31, 2008 (A-05-09-00022)
08-16-2010: Review of Less-Than-Effective Drugs in the Medicare Part D Program (A-07-09-04138)
08-09-2010: Review of Sterling Life Insurance Company’s Internal Controls To Guard against Fraud, Waste, and Abuse for the Medicare Part D Program (A-07-09-03136)
08-06-2010: Review of New York State’s Compliance With the Prompt Pay Requirements for the Increased Federal Medical Assistance Percentage Under the American Recovery and Reinvestment Act of 2009 Audit (A-02-09-01037)
08-02-2010: Medicare Part B Carrier Payments for Neulasta Injections in Pennsylvania for Calendar Years 2004 Through 2007 (A-03-09-00014)
07-30-2010: Review of Early Intervention Services Costs Claimed by New Jersey to the Medicaid Program (A-02-08-01019); Review of Medicare Part D Drug Payments to Virginia for Service Dates January 1 Through March 8, 2006 (A-03-09-00021)
07-29-2010: Review of Medicaid Credit Balances at Rideout Memorial Hospital as of July 31, 2009 (A-09-09-00106)
07-28-2010: Review of Place-of-Service Coding for Physician Services Processed by Medicare Part B Carriers During Calendar Year 2007 (A-01-09-00503); Payments for Outpatient Infusion Therapy Services Provided at Princeton Community Hospital, Princeton, West Virginia (A-03-10-10005)
07-23-2010: Review of Medicaid Payments at Cummings Healthcare LTC Group for State Fiscal Years 2007 through 2009 (A-01-10-00010)
07-21-2010: Review of Medicaid Disproportionate Share Hospital Payments Made by Maine to the Riverview Psychiatric Center (A-01-09-00011)
07-16-2010: Review of Ohio’s Reporting Fund Recoveries for Federal and State Programs on the CMS-64 for Fiscal Years 2008 Through 2009 (A-05-09-00102)
07-14-2010: Analysis of Errors Identified in the Fiscal Year 2009 Comprehensive Error Rate Testing Program (A-01-10-01000)
07-12-2010: Medicare Part B Carrier Payments for Neulasta Injections in New Jersey for Calendar Years 2004 Through 2007 (A-03-10-00001); Review of Institutional Medicare Beneficiaries’ Minimum Data Set Classification for Community Insurance Company (Contract Number H3655, Plan 13) for Calendar Year 2008 (A-05-09-00019); Review of Medicare Contractor Information Security Program Evaluations for Fiscal Year 2007 (A-18-07-30291)
07-09-2010: Payments for Outpatient Infusion Therapy and Blood Administration Services Provided at Washington Hospital Center, Washington, DC (A-03-10-10002); Payments for Outpatient Infusion Therapy, Lithotripsy, and Blood Administration Services Provided at Georgetown University Hospital, Washington, DC (A-03-10-10001); Review of Houston Companies Medicare Cost Reports for Calendar Year 2005 (A-05-09-00062); Medicare Part B Carrier Payments for Neulasta Injections in Maryland for Calendar Years 2004 Through 2007 (A-03-09-00015)
07-08-2010: Review of American Recovery and Reinvestment Act of 2009 Medicaid Eligibility Requirements in Texas (A-06-09-00099); Review of TriSpan Health Services, Inc., Medicare Payments to Providers Terminated Between January 1, 2003, and January 31, 2007 (A-05-09-00104)
07-01-2010: Review of Cahaba Government Benefit Administrators, LLC, Medicare Payments to Providers Terminated Between January 1, 2003, and January 31, 2007 (A-05-09-00077)
06-30-2010: Review of Family Planning Pharmacy Claims Submitted by Selected Providers Under the State of Kansas Medicaid Program (A-07-10-04157)
06-29-2010: Review of Oxaliplatin Billing at Bayshore Medical Center for the Period January 1 Through December 31, 2005 (A-06-09-00058); Review of Inpatient Rehabilitation Facilities’ Compliance With Medicare’s Transfer Regulation During Fiscal Years 2004 Through 2007 (A-04-09-00059)
06-25-2010: Review of California’s Invoicing of Rebates for Medicaid Compound Drug Expenditures–Manual Claims (A-09-09-00055); Review of Coventry Health Care, Inc.’s 2007 Prescription Drug Event Data Elements Related to Yearend Reconciliation (A-03-09-00020)
06-24-2010: Audit of Cooperativa de Seguros de Vida de Puerto Rico’s Final Administrative Cost Proposals for Fiscal Years 2005 Through 2007 (A-02-08-01026); Payments for Outpatient Infusion Therapy, Lithotripsy, and Blood Administration Services Provided at Providence Hospital, Washington, DC (A-03-10-10004); Medicare Part B Carrier Payments for Neulasta Injections in the District of Columbia for Calendar Years 2004 Through 2007 (A-03-09-00016)
06-23-2010: Review of Medicaid Payments for Services Claimed for Deceased Beneficiaries in California (A-09-09-00110); Medicare Part B Carrier Payments for Neulasta Injections in Virginia for Calendar Years 2004 Through 2007 (A-03-09-00022); Medicare Part B Carrier Payments for Neulasta Injections in West Virginia for Calendar Years 2004 Through 2007 (A-03-09-00017)
06-22-2010: Review of Jurisdiction C Medicare Payments for Selected Durable Medical Equipment Claims With the KX Modifier for Calendar Year 2007 (A-04-09-04039); Review of Medicaid Disproportionate Share Hospital Payment Distribution (A-07-09-04150)
06-16-2010: Review of Medicaid Management Information System Prepayment Edit in the District of Columbia (A-03-08-00208)
06-15-2010: Review of Blue Cross Blue Shield Association’s Final Administrative Cost Proposal for Fiscal Year 2008 (A-05-09-00097)
06-11-2010: Review of Medicare Part B Bad Debts at Erlanger Medical Center for the Fiscal Year Ended June 30, 2005 (A-04-09-00058)
06-10-2010: Review of Medicare Part A Bad Debts at Erlanger Medical Center for the Fiscal Year Ended June 30, 2005 (A-04-09-00057)
06-09-2010: Nationwide Review of Inpatient Rehabilitation Facilities’ Transmission of Patient Assessment Instruments for Calendar Years 2006 and 2007 (A-01-09-00507)
06-08-2010: Review of Nonemergency Medical transportation Costs in the State of Texas (Transportation Provided by Capital Area Rural Transit System) (A-06-08-00096)
06-07-2010: Review of National Government Services, Inc., Medicare Payments to Providers Terminated Between January 1, 2003, and January 31, 2007 (A-05-09-00076)
06-04-2010: Review of Medicare Part B Bad Debts at Carolinas Medical Center for the Fiscal Year Ended December 31, 2005 (A-04-09-00056); Review of Medicare Part A Bad Debts at Carolinas Medical Center for the Fiscal Year Ended December 31, 2005 (A-04-09-00055)
06-02-2010: Review of Pension Costs Claimed for Medicare Reimbursement by CIGNA Government Services, LLC, for Fiscal Years 2005 Through 2007 (A-07-10-00327); Review of Medicare Contractor’s Pension Segmentation Requirements at CIGNA Government Services, LLC, for the Period January 1, 2004, to January 1, 2008 (A-07-10-00326)
06-01-2010: Medicare Part D – Prescription Drug Event Reconciliation Process (A-18-08-30102)
05-28-2010: Review of Oxaliplatin Billing at Parkland Health & Hospital System for the Period January 1 Through December 31, 2005 (A-06-09-00057); Review of Medicare Part B Claims for Neulasta—Wisconsin Physicians Service for the Calendar Years 2004 through 2007 (A-05-09-00070); Review of the Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program in Tennessee (A-04-09-04040); Review of American Recovery and Reinvestment Act of 2009 Medicaid Eligibility Requirements in Minnesota (A-05-10-00014)
05-26-2010: Review of the Centers for Disease Control and Prevention’s Resolution of Audit Recommendations (A-07-09-03131); Review of Florida’s Developmental Disabilities Medicaid Administrative Claiming Costs for the Period October 1, 2003, Through September 20, 2006 (A-04-07-00028); Review of New York State’s Compliance With the Political Subdivision Requirement for the Increased Federal Medical Assistance Percentage Under the American Recovery and Reinvestment Act of 2009 (A-02-09-01029)
05-24-2010: Review of Central Louisiana State Hospital’s Hurricane-Related Uncompensated Care Claims (A-06-09-00084)
05-21-2010: Review of Medicaid High-Dollar Payments for Inpatient Services in Illinois From January 1, 2006, Through September 30, 2007— Hospitals With Fewer Than Five High-Dollar Payments (A-05-09-00048)
05-19-2010: Nationwide Review of Medicare Part A Emergency Department Adjustments for Inpatient Psychiatric Facilities During Calendar Years 2006 and 2007 (A-01-09-00504); Review of Inpatient Rehabilitation Facility Claims Billed with Patient Status Code 05 Processed by National Government Services for Calendar Year 2007 (A-01-09-00525)
05-18-2010: Review of Houston Companies Medicaid Cost Reports for Calendar Years 2003, 2004, and 2005 (A-05-08-00053); Review of the State of Wisconsin’s Reporting Fund Recoveries for Federal and State Medicaid Programs on the Form CMS-64 for Fiscal Years 2006 and 2007 (A-05-08-00067) This section is not currently available.
05-12-2010: Review of Rhode Island’s Compliance With the American Recovery and Reinvestment Act of 2009 Medicaid Eligibility Requirements (A-01-09-00007); Review of New Hampshire’s Compliance With the American Recovery and Reinvestment Act of 2009 Medicaid Eligibility Requirements (A-01-10-00002)
05-11-2010: Review of Medicare Credit Balances at the Jack D. Weiler Hospital of the Albert Einstein College of Medicine (A-02-09-01010)
05-10-2010: Review of Excessive Payments for Outpatient Services at Swedish Medical Center – First Hill for Calendar Years 2004 Through 2007 (A-09-09-00102)
05-05-2010: Review of High-Dollar Payments for Texas Medicare Part B Claims Processed by TrailBlazer Health Enterprises for the Period January 1 through December 31, 2006 (A-06-08-00070); Review of Pension Costs Claimed for Medicare Reimbursement by Blue Cross Blue Shield of Kansas for Fiscal Years 1994 Through 2008 (A-07-09-00309); Review of the Qualified Pension Plan at Blue Cross Blue Shield of Kansas, a Terminated Medicare Contractor, for the Period January 1, 1993, to February 29, 2008 (A-07-09-00308); Oversight and Evaluation of the Fiscal Year 2007 Payment Error Rate Measurement Program (A-06-08-00078); Review of Postretirement Benefit Costs Claimed for Medicare Reimbursement by First Coast Service Options, Inc., for Fiscal Years 2006 and 2007 (A-07-09-00315); Review of Medicare Segment Postretirement Benefit Assets of First Coast Service Options, Inc., for the Period January 1, 2005, to January 1, 2008 (A-07-09-00314)
05-04-2010: Review of Medicaid Credit Balances at Arkansas Health Center as of June 30, 2009 (A-06-09-00102); Nationwide Review of Medicare Payments for Interrupted Stays at Inpatient Psychiatric Facilities for Calendar Years 2006 and 2007 (A-01-09-00508)
05-03-2010: Review of Excessive Payments for Outpatient Services at Swedish Medical Center – Cherry Hill for Calendar Years 2004 Through 2007 (A-09-09-00103)
04-30-2010: Review of the State of Wisconsin’s Medicaid Management Information System Expenditures for the Period October 1, 2006, Through September 30, 2008 (A-05-09-00073)
04-27-2010: Review of Iowa Medicaid Payments for Home Health Agency Claims (A-07-10-01081); Review of Iowa Medicaid Payments for Home Health Agency Claims Paid to Ultimate Nursing Services of Iowa, Inc. (A-07-09-01078); Review of Iowa Medicaid Payments for Home Health Agency Claims Paid to Iowa Home Care, LLC (A-07-09-01070)
04-26-2010: Review of High-Dollar Payments for Louisiana Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1 Through December 31, 2006 (A-06-08-0039)
04-23-2010: Review of Medicaid Personal Care Service Claims Submitted by Independence First, Inc. and Claimed by Wisconsin From July 1, 2006, Through June 30, 2008 (A-05-09-00093); Review of New Jersey’s Medicaid School-Based Health Claims Submitted by Maximus, Inc. (A-02-07-01051)
04-22-2010: Review of New Jersey’s Medicaid Emergency Payment Program for Nonqualified Aliens (A-02-07-01038)
04-21-2010: Review of High-Dollar Payments for Inpatient Services Processed by Noridian Administrative Services, LLC, for the Period January 1, 2003, Through December 31, 2005 (A-07-09-04148); Review of Medicaid Credit Balances at Mercy San Juan Medical Center as of July 31, 2009 (A-09-09-00107)
04-20-2010: Review of National Government Services, Inc., Medicare Payments to Providers Terminated Between January 1, 2003, and January 31, 2007 (A-05-09-00035)
04-19-2010: Payments for Outpatient Lithotripsy Services Provided at The George Washington University Hospital, Washington, DC (A-03-10-10003)
04-16-2010: Review of High-Dollar Payments for Outpatient Services Processed by Noridian Administrative Services, LLC, for the Period January 1, 2003, Through December 31, 2005 (A-07-10-04154)
04-14-2010: Review of American Recovery and Reinvestment Act of 2009 Medicaid Eligibility Requirements in Louisiana (A-06-09-00100)
04-08-2010: Review of Select Medicare Conditions of Participation and Costs Claimed at Hillsboro Area Hospital From April 1, 2004, Through June 30, 2006 (A-05-07-00082); Analysis of Improper Payments Identified During the Payment Error Rate Measurement Program Reviews in 2006 and 2007 (A-06-09-00079)
03-31-2010: Review of Medicaid Compound Drug Expenditures in California for Fiscal Years 2004 and 2005 (A-09-08-00034); Review of the Hurricane Katrina Health-Care-Related Professional Workforce Supply Grant for the Greater New Orleans Area (A-06-08-00026); Review of Colorado’s Claims Associated With the Increased Federal Medical Assistance Percentage Under the American Recovery and Reinvestment Act of 2009 (A-07-09-02767); Review of Delaware’s Claims Associated With the Increased Federal Medical Assistance Percentage Under the American Recovery and Reinvestment Act of 2009 (A-03-09-00202)
03-25-2010: Review of Pension Costs Claimed for Medicare Reimbursement by First Coast Service Options, Inc., for Fiscal Years 2004 Through 2007 (A-07-09-00312); Review of Medicare Contractor’s Pension Segmentation Requirements at First Coast Service Options, Inc., for the Period January 1, 2003, to January 1, 2008 (A-07-09-00311)
03-23-2010: Review of Wisconsin Physicians Service Insurance Corporation Medicare Payments to Providers Terminated Between January 1, 2003, and January 31, 2007 (A-05-09-00075)
03-22-2010: Review of Arizona’s Medicaid Claims for School-Based Health Services (A-09-07-00051)
03-18-2010: Review of Missouri Medicaid Payments for the School District Administrative Claiming Program for Federal Fiscal Years 2004 Through 2006 (A-07-08-03107); Review of Separately Billed Laboratory Tests Submitted by Spectra Laboratories for Medicare Beneficiaries With End-Stage Renal Disease Receiving Dialysis at Fresenius Medical Care North America’s Facilities (A-01-08-00511)
03-12-2010: Review of Alabama’s Claims Associated With the Increased Federal Medical Assistance Percentage Under the American Recovery and Reinvestment Act of 2009 (A-04-09-06111)
03-11-2010: Review of Additional Rebates for Brand-Name Drugs With Multiple Versions (A-06-09-00033)
03-02-2010: Review of California’s Department of Health Care Services Fiscal Year 2007 Payment Error Rate Measurement Universes (A-06-08-00050); Review of Oxaliplatin Billing at University of Arkansas for Medical Sciences Medical Center for Calendar Year 2005 (A-06-09-00048)
02-17-2010: Review of the Pension Segmentation Requirements for the Salaried Qualified Pension Plan at Blue Cross Blue Shield United of Wisconsin, for the Period January 1, 1986, to December 31, 1998 (A-07-09-00322); Review of the Pension Segmentation Requirements for the Hourly Qualified Pension Plan at Blue Cross Blue Shield United of Wisconsin, for the Period January 1, 1986, to December 31, 1998 (A-07-09-00321)
02-11-2010: Review of Medicaid Administrative Costs Claimed for the Massachusetts Department of Transitional Assistance (A-01-08-00014)
02-05-2010: Review of Oxaliplatin Billing at Swedish Medical Center – Cherry Hill for Calendar Year 2005 (A-09-09-00085)
02-04-2010: Review of Missouri’s Claims Associated With the Increased Federal Medical Assistance Percentage Under the American Recovery and Reinvestment Act (A-07-09-02762)
1-29-2010: Audit of Head Start Matching Costs for the Community Action Program Committee of Lancaster Fairfield County for the Period January 1, 2007, Through December 31, 2008 (A-05-09-00047)
1-28-2010: Review of OneLegacy’s Reported Fiscal Year 2006 Organ Acquisition Overhead Costs and Administrative and General Costs (A-09-08-00033)
01-26-2010: Review of Oxaliplatin Billing at Ben Taub General Hospital for Calendar Year 2005 (A-06-09-00029)
01-25-2010: Review of Florida’s Claims Associated With the Increased Federal Medical Assistance Percentage Under the American Recovery and Reinvestment Act of 2009 (A-04-09-06110)
01-20-2010: Review of Oxaliplatin Billing at John Peter Smith Hospital for the Period January 1 Through December 31, 2005 (A-06-09-00032); Review of SilverScript Insurance Company’s Internal Controls To Guard Against Fraud, Waste and Abuse for the Medicare Part D Program (A-07-09-03124)
01-14-2010: Review of High-Dollar Payments for Arkansas Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1 Through December 31, 2005 (A-06-08-00036)
01-13-2010: Review of Early Intervention Services Costs Claimed by New Jersey to the Medicaid Program (A-02-07-01053)
01-11-2010: Review of High-Dollar Payments for Inpatient Services Processed by Wisconsin Physicians Service for Calendar Years 2004 Through 2006—Hospitals With Five or More High-Dollar Payments (A-05-08-00051); Review of Oxaliplatin Billing at Saint Bernards Medical Center for Calendar Year 2005 (A-06-09-00050); Review of Medicare Payments for Selected Durable Medical Equipment Claims With the KX Modifier for Calendar Year 2006 (A-04-08-04020)
01-08-2010: Review of Maryland’s Claims Associated With the Increased Federal Medical Assistance Percentage Under the American Recovery and Reinvestment Act of 2009 (A-03-09-00203)
01-04-2010: Review of Oxaliplatin Billing at St. Joseph Medical Center for January 1 Through December 31, 2005 (A-06-09-00055)

12-30-2009: Review of the Reconciliation and Reporting of Medicaid Non-Risk Contract Payments by the Utah Department of Health (A-07-09-02754); Review of Geographic Classification of Skagit Valley Hospital for Medicare Operating Disproportionate Share Hospital Payment (A-07-09-02758)
12-23-2009: Revieww of Maine’s Compliance With the ‘Reimbursement of State Costs for Provision of Part D Drugs’ Medicare Demonstration Project Requirements (A-01-09-00609)
12-22-2009: Review of Oxaliplatin Billing at CHRISTUS Hospital-St. Elizabeth for the Period January 1 Through December 31, 2005 (A-06-09-00069); Summary of Inspectors General Reports on Federal Agencies’ Data-Quality Review Processes (A-09-10-01002)
12-21-2009: Follow-Up Audit of the Medicaid Drug Rebate Program in Maine (A-01-09-00001)
12-16-2009: Review of Select Medicare Conditions of Participation and Costs Claimed at St. Vincent Frankfort Hospital From July 1, 2003, Through June 30, 2006 (A-05-08-00008)
12-15-2009: Review of Eligibility Redeterminations for Medicaid Beneficiaries in Cook County, Illinois, for the Period July 1, 2006, Through June 30, 2007 (A-05-08-00091)
12-14-2009: Review of Medicare Outpatient Payments for Oxaliplatin in Virginia (A-04-09-06103)
12-07-2009: Review of Medicaid Supplemental Rate Payments to UMass Memorial Health Care, Inc., for Fiscal Years 2004 and 2005 (A-01-07-00013); Review of High-Dollar Inpatient Claims Processed by Cahaba Government Benefit Administrators, LLC (Contractor No. 00010), for Calendar Years 2004 Through 2006 (A-04-08-00039)
11-30-2009: Review of High-Dollar Payments for Medicare Outpatient Claims Processed by TrailBlazer Health Enterprises for the Period January 1 through December 31, 2006 (A-06-08-00066); Review of Oxaliplatin Billing at Saint Vincent Infirmary Medical Center for Calendar Year 2005 (A-06-09-00049)
11-18-2009: Review of Comprehensive Outpatient Rehabilitation Facility Therapy Services Provided by Care Alliance of America, Inc. (A-04-05-02011)
11-16-2009: Review of Retiree Drug Subsidy Plan Sponsor State of New Hampshire for Plan Year Ended June 30, 2006 (A-01-08-00602)
11-13-2009: Review of Oxaliplatin Billing at Swedish Medical Center – First Hill for Calendar Years 2004 and 2005 (A-09-09-00084)
11-06-2009: Review of Medicaid Payments for Services Claimed To Have Been Rendered to Deceased Recipients in Texas (A-06-09-00065); Review of Geographic Classification of Thomasville Medical Center for Medicare Operating Disproportionate Share Hospital Payment (A-07-09-02760)
11-05-2009: Review of Geographic Classification of Marion General Hospital for Medicare Operating Disproportionate Share Hospital Payment (A-07-09-02746); Review of Lancaster General Hospital Medicare Outpatient Payments for Oxaliplatin (A-04-09-06112); Review of California Medicaid Credit Balances for Kapi‘olani Medical Center at Pali Momi as of December 31, 2008 (A-09-09-00090); Review of Medicaid Credit Balances at Tri-City Medical Center as of February 28, 2009 (A-09-09-00078)
11-04-2009: Audit of Palmetto Government Benefits Administrators’ Durable Medical Equipment Regional Carrier Final Administrative Cost Proposals for Fiscal Year 2007 (A-04-08-04025)
11-03-2009: Review of Medicare Contractor Information Security Program Evaluations for Fiscal Year 2006 (A-18-07-30290)
10-29-2009: Review of High-Dollar Payments for Virginia and West Virginia Outpatient Claims Processed by National Government Services for Calendar Years 2003–2005 (A-03-07-00015); Follow-up Review of the Medicaid Drug Rebate Program in Indiana (A-04-08-07006); Audit of Gentiva Medicaid Home Health Agency Claims in Kentucky (A-04-09-06012)
10-26-2009: Review of Massachusetts’ Compliance With the “Reimbursement of State Costs for Provision of Part D Drugs” Medicare Demonstration Project Requirements (A-01-09-00601)
10-21-2009: Review of Wheatlands Administrative Services, Inc.’s Final Administrative Cost Proposals for Fiscal Years 2005 Through 2008 (A-07-08-04137)
10-15-2009: Review of Medicare Outpatient Payments for Oxaliplatin in New Jersey (A-04-09-06101); Review of Medicare Outpatient Payments for Oxaliplatin in Pennsylvania (A-04-09-06102)
10-14-2009: Review of Geographic Classification of Pioneers Memorial Hospital for Medicare Operating Disproportionate Share Hospital Payment (A-07-09-02759); Review of Geographic Classification of Hospital Cayetano Coll y Toste for Medicare Operating Disproportionate Share Hospital Payment (A-07-09-02757); Review of Medicaid Payments for Services Claimed To Have Been Rendered to Deceased Recipients in Louisiana (A-06-09-00089)
10-13-2009: Review of High-Dollar Payments for Medicare Part B Claims Processed by First Coast Service Options, Inc., for Calendar Years 2004-2006 (A-01-09-00513); Review of Postretirement Benefit Costs Claimed for Medicare Reimbursement by Blue Cross Blue Shield of Montana for Fiscal Years 1987 Through 2007 (A-07-09-00298); Review of Supplemental Executive Retirement Plan Costs Claimed for Medicare Reimbursement by Blue Cross Blue Shield of Montana for Fiscal Years 1994 Through 2007 (A-07-09-00297); Review of Pension Costs Claimed for Medicare Reimbursement by Blue Cross Blue Shield of Montana for Fiscal Years 2004 Through 2007 (A-07-09-00296); Review of the Qualified Pension Plan at Blue Cross Blue Shield of Montana, a Terminated Medicare Contractor, for the Period January 1, 2004, to November 30, 2006 (A-07-09-00295)
10-08-2009: Payments for Epogen Administered at Bon Secours Baltimore Hospital Renal Dialysis Center, Baltimore, Maryland (A-03-07-00031); Payments for Epogen Administered at University of Virginia Medical Center–Lynchburg Dialysis, Lynchburg, Virginia (A-03-07-00028)
10-07-2009: Review of Medicare Outpatient Payments for Oxaliplatin in West Virginia (A-04-09-06104)
10-06-2009: Review of Medicare Credit Balances at Coney Island Hospital (A-02-08-01029)

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FY 2009

09-25-2009: Review of Medicare Claims Submitted by a Cardiologist in New York State (A-02-09-01003)
09-29-2009: Independent Contractor’s Review of Fiscal Intermediary and Carrier Claims From the Fiscal Year 2008 Comprehensive Error Rate Testing Program (A-01-09-00511)
09-23-2009: Review of Family Planning Claims Submitted by Selected Providers Under the New York State Medicaid Program (A-02-09-01015); Review of Select Medicare Conditions of Participation and Costs Claimed at Aspirus Keweenaw Hospital From August 1, 2004, Through September 30, 2006 (A-05-07-00083)
09-22-2009: Review of Medicare Part D Drug Payments to Baron Drug Company for Service Dates January 1 – March 31, 2006 (A-03-08-00011); Family Planning Services Claimed by Michigan During October 1, 2005, Through September 30, 2007 (A-05-09-00050)
09-21-2009: Review of Medicare Credit Balances at North Shore University Hospital (A-02-08-01022)
09-08-2009: Review of Connecticut’s Community Based Medicaid Administrative Claims for State Fiscal Years 2005 and 2006 (A-01-08-00003)
09-02-2009: Review of Pennsylvania’s Medicaid Payments for Targeted Case Management Services for Calendar Years 2003 Through 2005 (A-03-06-00202)
08-31-2009: Medicaid Payments Made for Nonemergency Services Provided to Undocumented Aliens and Legal Aliens Restricted to Emergency Services in Texas (A-06-07-00108)
08-28-2009: Review of Postretirement Benefit Costs Claimed for Medicare Reimbursement by Noridian Administrative Services, LLC, for Fiscal Years 2004 and 2005 (A-07-08-00281); Noridian Postretirement Benefit Segmentation (A-07-08-00280)
08-27-2009: Review of Medicaid Credit Balances at Oroville Hospital as of February 28, 2009 (A-09-09-00077); Review of Hawaii Medicaid Credit Balances for Kapi‘olani Medical Center at Pali Momi as of December 31, 2008 (A-09-09-00073); Review of Oxaliplatin Billing at University Hospital for the Period January 1 Through December 31, 2005 (A-06-09-00030)
08-26-2008: Review of High-Dollar Payments for Maryland and District of Columbia Outpatient Claims Processed by CareFirst of Maryland for the Period January 1, 2003, Through September 30, 2005 (A-03-07-00012)
08-25-2009: Payments for Ambulance Transportation Provided to Beneficiaries in Skilled Nursing Stays Covered Under Medicare Part A in Calendar Year 2006 (A-01-08-00505); Review of Emergency Department Procedure Codes Billed by Cape Cod Emergency Associates (A-01-09-00509)
08-24-2009: Review of High-Dollar Payments for Medicare Part B Claims Processed by Noridian Administrative Services, LLC, for the Period January 1, 2003, Through December 31, 2005 (A-07-08-04135)
08-21-2009: Review of Medicaid Credit Balances at Kuakini Medical Center as of December 31, 2008 (A-09-09-00072)
08-19-2009: Review of Riverbend Government Benefits Administrator Medicare Payments to Providers Terminated From January 1, 2003, Through January 31, 2007 (A-05-09-00063)
08-18-2009: Review of Oxaliplatin Billing at Douglas County Hospital for Calendar Years 2004 and 2005 (A-05-09-00066); Review of Oxaliplatin Claims Processed by National Government Services for Calendar Years 2004 and 2005 (A-05-09-00052)
08-14-2009: Payments for Epogen Administered at Independent Dialysis Foundation—Parkview Center, Baltimore, Maryland (A-03-07-00032); Review of High-Dollar Payments for Pennsylvania Outpatient Claims Processed by Highmark Medicare Services for Calendar Years 2003–2005 (A-03-07-00011)
08-10-2009: Review of Duplicate Capitation Payments to Medicare Advantage Organizations and Programs of All-Inclusive Care for the Elderly Organizations (A-07-08-01052)
08-07-2009: Review of Termination Claim for Postretirement Benefit Costs Made by Blue Cross Blue Shield of Kansas (A-07-09-00310)
08-05-2009: Review of Medicare Contractor Processes for Reviewing Pennsylvania Hospitals’ Wage Data (A-03-08-00020); Payments for Epogen Administered at Fresenius Medical Care—First State, New Castle, Delaware (A-03-07-00033); Payments for Epogen Administered at Fresenius Medical Care—Beckley, Beckley, West Virginia (A-03-07-00026)
08-03-2009: Review of the Altoona Regional Health System’s Reported Fiscal Year 2006 Wage Data (A-03-08-00019)
07-31-2009: Follow-up Review of the Medicaid Drug Rebate Program in South Carolina (A-04-08-07004); Follow-up Review of the Medicaid Drug Rebate Program in Georgia (A-04-07-07027)
07-29-2009: Review of the Calculation of Additional Medicaid Funding Awarded Under the American Recovery and Reinvestment Act (A-09-09-00080)
07-28-2009: Review of High-Dollar Payments for Texas Medicare Part B Claims Processed by TrailBlazer Health Enterprises for the Period January 1 through December 31, 2005 (A-06-08-00069); Review of Pension Costs Claimed for Medicare Reimbursement by Triple-S, Inc., for Fiscal Years 1988 Through 2006 (A-07-08-00268); Review of the Qualified Pension Plan at Triple-S, Inc., for the Period January 1, 1986, Through January 1, 2007 (A-07-08-00266)
07-21-2009: Review of New Jersey’s Compliance With the “Reimbursement of State Costs for Provision of Part D Drugs” Medicare Demonstration Project Requirements (A-02-08-01007)
07-16-2009: Review of High-Dollar Payments for Medicare Outpatient Claims Processed by TrailBlazer Health Enterprises for the Period January 1 through December 31, 2005 (A-06-08-00065); Review of Medicaid Credit Balances at Sunny Vista Living Center (A-07-09-02756); Review of Medicaid Credit Balances at Boulder Manor Nursing Home (A-07-09-02755); Review of Medicaid Credit Balances at Colorado State Veterans Home at Fitzsimons (A-07-09-02751)
07-15-2009: Payments for Epogen Administered at Fresenius Medical Care – Brandywine, Wilmington, Delaware (A-03-07-00034); Payments for Epogen Administered at Fresenius Medical Care – Northeast, District of Columbia (A-03-07-00035); Payments for Epogen Administered at Fresenius Medical Care – Anacostia, District of Columbia (A-03-07-00036)
07-14-2009: Review of Medicare Outpatient Payments for Oxaliplatin in Kentucky (A-04-09-06100); Payments for Epogen Administered at Fresenius Medical Care—Artificial Kidney Center of Suffolk, Suffolk, Virginia (A-03-07-00027); Review of Southeast Louisiana Hospital’s Hurricane-Related Uncompensated Care Claims (A-06-08-00023)
07-13-2009: Audit of Cooperativa de Seguros de Vida de Puerto Rico’s Unfunded Pension Costs for 1986 to 2007 (A-07-09-00318)
07-10-2009: Review of Pension Costs Claimed for Medicare Reimbursement by Cooperativa de Seguros de Vida de Puerto Rico, for Fiscal Years 1988 Through 1995 (A-07-09-00317); Review of Postretirement Benefit Costs Claimed for Medicare Reimbursement by Blue Cross Blue Shield of Kansas for Fiscal Years 2005 Through 2008 (A-07-09-00316); Review of the Pension Segmentation Requirements for the Qualified Pension Plan at Cooperativa de Seguros de Vida de Puerto Rico, for the Period January 1, 1996, to January 1, 2007 (A-07-08-00271)
07-09-2009: Review of Pension Costs Claimed for Medicare Reimbursement by Cooperativa de Seguros de Vida de Puerto Rico, for Fiscal Years 1996 Through 2006 (A-07-08-00272)
07-01-2009: Review of Oxaliplatin Billing at Kootenai Medical Center for Calendar Year 2005 (A-09-09-00059); Review of Oxaliplatin Billing at University of California San Diego Medical Center for Calendar Years 2004 and 2005 (A-09-09-00057)
06-30-2009: Ochsner Health Plan of Louisiana’s Adjusted Community Rate Proposal Modifications for Contract Year 2004 (A-06-06-00093)
06-29-2009: Review of Medicaid Credit Balances at Pioneers Memorial Healthcare District as of December 31, 2008 (A-09-09-00054)
06-25-2009: Review of North Carolina’s Accounts Receivable System for Medicaid Provider Overpayments (A-04-06-07009)
06-24-2006: Payments for Epogen Administered at Fresenius Medical Care—Wynnewood, Wynnewood, Pennsylvania (A-03-07-00029); Payments for Epogen Administered at Lancaster General Hospital Dialysis Center, Lancaster, Pennsylvania (A-03-07-00030)
6-23-2009: Review of Disproportionate Share Hospital Payments Made by Pennsylvania to State-Operated Institutions for Mental Diseases (A-03-08-00202); Review of High-Dollar Payments for Arkansas Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1 Through December 31, 2006 (A-06-08-00038); Collaborative Effort to Identify Overlapping Claims for Dual-Eligible Beneficiaries Receiving Medicare Part A and Medicaid Long-Term-Care Services in Texas (A-06-08-00053); Review of Oxaliplatin Billing at Southwestern Regional Medical Center for Calendar Year 2004 (A-06-08-00087)
06-22-2009: Review of High-Dollar Payments for Inpatient Services Processed by Wisconsin Physicians Service for Calendar Years 2004 Through 2006–Hospitals With Fewer Than Five High-Dollar Payments (A-05-08-00061); Review of Palmetto GBA, LLC Medicare Payments to Providers Terminated From January 1, 2003, Through January 31, 2007 (A-05-09-00012)
06-17-2009: Review of Place-of-Service Coding for Physician Services Processed by Medicare Part B Carriers During Calendar Years 2005 and 2006 (A-01-08-00528); Review of Retiree Drug Subsidy Plan Sponsor Commonwealth of Pennsylvania for Plan Year Ended December 31, 2006 (A-03-08-00013); Review of Medicaid Credit Balances at French Hospital Medical Center as of February 28, 2009 (A-09-09-00079)
06-12-2009: Review of High-Dollar Payments for Louisiana Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1 Through December 31, 2005 (A-06-08-00037); Review of High-Dollar Payments for Missouri Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1 through December 31, 2006 (A-06-08-00031); Family Planning Services Claimed Twice in Michigan for October 1, 2005, Through September 30, 2007 (A-05-08-00064); Review of Termination Claim for Postretirement Benefit Costs Made by CareFirst of Maryland, Incorporated (A-07-09-00299)
06-11-2009: Review of Oxaliplatin Billing at University Medical Center of Southern Nevada for Calendar Year 2004 (A-09-09-00074)
06-10-2009: Review of Oxaliplatin Billing at Louisiana State University Health Sciences Center for Calendar Years 2004 and 2005 (A-06-08-00086)
06-08-2009: Review of Medicaid Personal Care Services Claims Made by Providers in New York City (A-02-07-01054)
06-05-2009: Review of Medicaid Outpatient Expenditures in Michigan for the Period October 1, 2004, Through September 30, 2005 (A-05-08-00048)
06-04-2009: Review of Medicaid Outpatient Drug Expenditures in Texas for the Period October 1, 2003, Through September 30, 2005 (A-06-07-00092); Review of Medicaid Credit Balances at St. Joseph Hospital as of June 30, 2007 (A-05-08-00089)
05-29-2009: Review of Medicaid Credit Balances at Scripps Memorial Hospital Encinitas as of December 31, 2008 (A-09-09-00056)
05-27-2009: Review of Oxaliplatin Claims Processed by National Government Services for Calendar Years 2004 and 2005 (A-05-09-00010)
05-26-2009: Review of Medicaid Outpatient Drug Expenditures in the State of New York for the Period October 1, 2003, Through September 30, 2005 (A-02-07-01028)
05-22-2009: Review of Termination Claim for Postretirement Benefit Costs Made by The Regence Group for the Utah Segment (A-07-08-00278); Review of the Calculations of Temporary Increases in Federal Medical Assistance Percentages Under the American Recovery and Reinvestment Act (A-09-09-00075)
05-19-2009: Review of the Long-Term Care, Managed Care Program Costs Claimed by the Utah Department of Health (A-07-08-02719)
05-18-2009: Review of Oxaliplatin Billing at Providence Regional Medical Center Everett for Calendar Year 2005 (A-09-09-00052)
05-12-2009: Review of Medicaid Services to Incarcerated Juveniles in the State of Georgia for Federal Fiscal Years 2003 and 2004 (A-04-06-00026); Independent Contractor’s Review of Durable Medical Equipment Claims From the Fiscal Year 2008 Comprehensive Error Rate Testing Program (A-01-09-00500)
05-07-2009: Review of Oxaliplatin Billing at Good Samaritan Regional Medical Center for Calendar Years 2004 and 2005 (A-09-09-00058); Review of California’s Compliance With Demonstration Project Requirements for Reimbursement of State Costs for Provision of Medicare Part D Drugs (Claims Processed Through the Medicaid Management Information System) (A-09-08-00056)
05-06-2009: Review of Oxaliplatin Billing at Providence Saint Joseph Medical Center for Calendar Year 2005 (A-09-09-00060)
05-01-2009: Review of Oxaliplatin Billing at Providence Alaska Medical Center for Calendar Year 2005 (A-09-09-00050); Review of New Mexico Developmental Disabilities Home and Community-Based Services Waiver (A-06-07-00097)
04-30-2009: Review of Separately Billed Laboratory Tests Paid by National Government Services, Inc., for Medicare Beneficiaries With End-Stage Renal Disease (A-01-07-00522)
04-29-2009: Review of High-Dollar Payments for Texas Medicare Part B Claims Processed by TrailBlazer Health Enterprises for the Period January 1 through December 31, 2004 (A-06-08-00034); Review of TrailBlazer Health Enterprises, LLC Medicare Payments to Providers Terminated From January 1, 2003, Through January 31, 2007 (A-05-09-00017); Review of Medicaid Outpatient Drug Expenditures in California for Fiscal Years 2004 and 2005 (A-09-07-00039)
04-27-2009: Review of Emergency Health Services at Florida Hospital Furnished to Undocumented Aliens Covered by Section 1011 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (A-04-06-07007)
04-24-2009: Review of High-Dollar Payments for Services Processed by Wisconsin Physicians Service for the Period January 1, 2004, Through December 31, 2006 (A-05-08-00022)
04-23-2009: Review of Medicare Part A Claims Paid by National Government Services for Interrupted Stays at Inpatient Psychiatric Facilities During Calendar Years 2005 and 2006 (A-01-08-00530); Review of Palmetto GBA’s Medicare Outpatient Payments for Oxaliplatin Drug Services in North Carolina (A-04-08-07002)
04-22-2009: Review of Interrupted Stays at Inpatient Rehabilitation Facilities for Calendar Years 2004 and 2005 (A-01-08-00502)
04-21-2009: Review of Medicaid Overpayments at North Country Associates, Inc., for Calendar Years 2004 Through 2006 (A-01-08-00011)
04-20-2009: Nationwide Review of Evaluation and Management Services Included in Eye and Ocular Adnexa Global Surgery Fees for Calendar Year 2005 (A-05-07-00077); Review of Oxaliplatin Billing at San Joaquin General Hospital for Calendar Years 2004 and 2005 (A-09-09-00051)
04-15-2009: Review of Oxaliplatin Billing at Hilo Medical Center for Calendar Year 2004 (A-09-09-00047)
04-14-2009: Review of Timeliness of West Virginia’s Retroactive Claims for Medicaid School-Based Services (A-03-06-00201)
04-09-2009: Review of Inpatient Hospital Claims Billed as Family Planning Services Under the New York State Medicaid Program (A-02-06-01007)
04-08-2009: Audit of Pinnacle Business Solutions, Inc.’s, Medicare Part A Final Administrative Cost Proposals for Fiscal Years 2005 Through 2007 (A-06-08-00015); Review of High-Dollar Payments for New Mexico and Oklahoma Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1 through December 31, 2006 (A-06-08-00071)
04-06-2009: Review of the Pension Costs Claimed for Medicare Reimbursement by Blue Cross Blue Shield of Arizona for Fiscal Year 2006 (A-07-09-00307); Review of the Pension Segmentation Requirements for the Qualified Pension Plan at Blue Cross Blue Shield of Arizona, a Terminated Medicare Contractor, for the Period January 1, 2005, to September 30, 2006 (A-07-09-00306)
04-02-2009: Audit of Pinnacle Business Solutions, Inc.’s, Medicare Part B Final Administrative Cost Proposals for Fiscal Years 2005 through 2007 (A-06-08-00016)
04-01-2009: Review of Pennsylvania’s Determination of Medicaid Disproportionate Share Hospital Eligibility for the State-Operated Institutions for Mental Diseases (A-03-08-00203)
03-30-2009: Review of High-Dollar Payments for Inpatient Services Processed by National Government Services in Illinois, Indiana, Kentucky, and Ohio for Calendar Years 2004 Through 2006 (A-05-08-00028); Review of Medicaid Participation Eligibility for One Indiana State-owned Psychiatric Hospital for the Period July 1, 1996, Through June 30, 2007 (A-05-07-00076)
03-27-2009: Review of High-Dollar Payments for Medicare Outpatient Claims Processed by TriSpan Health Services for the Period January 1 Through December 31, 2004 (A-06-08-00067); Audit of HealthNow New York, Inc.’s, Medicare Part B Final Administrative Cost Proposals for Fiscal Years 2005 Through 2007 (A-02-08-01003)
03-26-2009: Review of Missouri’s Medicaid Management Information System Expenditures for the Period October 1, 2004, Through September 30, 2007 (A-07-08-04122)
03-24-2009: Follow-Up Review of the Medicaid Drug Rebate Program in Rhode Island (A-01-08-00009)
03-23-2009: Review of High-Dollar Payments for New Mexico and Oklahoma Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1 through December 31, 2005 (A-06-08-00068)
03-20-2009: Review of the Termination Claim for Postretirement Benefit Costs Made by The Regence Group for the Oregon Segment (A-07-08-00283)
03-19-2009: Review of Medicaid Indirect Costs Submitted by the New York State Department of Health on Behalf of the Office of Mental Retardation and Developmental Disabilities (A-02-06-01028)
03-18-2009: Audit of Head Start Matching Costs for the Period January 1, 2006, Through December 31, 2007 – Miami Valley Child Development Centers, Inc. (A-05-09-00045)
03-17-2009: Review of Retiree Drug Subsidy Costs Reported by Southeastern Massachusetts Health Group for Plan Years 2006 and 2007 (A-01-08-00609); Review of Retiree Drug Subsidy Costs Reported by National Grid USA Service Company, Inc., for Plan Years 2006 and 2007 (A-01-08-00608); Review of Retiree Drug Subsidy Costs Reported by Massachusetts Bay Transportation Authority for Plan Years 2006 and 2007 (A-01-08-00606)
03-16-2009: Allowability of Alabama’s Hurricane Katrina-Related Uncompensated Care Claims (A-04-08-03040)
03-13-2009: Review of High-Dollar Payments for Medicare Outpatient Claims Processed by TrailBlazer Health Enterprises for the Period January 1 through December 31, 2004 (A-06-08-00040); Review of Texas Medicaid Payments for Medicare Coinsurance of Dual-Eligible Beneficiaries in Skilled Nursing Facilities (A-06-08-00006)
03-11-2009: Review of Oxaliplatin Billing at Baptist Hospitals of Southeast Texas for Calendar Years 2004 and 2005 (A-06-08-00084)
03-10-2009: Review of High-Dollar Part B Claims Processed by CIGNA Government Services Carrier No. 05440 for the Period January 1, 2004, Through December 31, 2006 (A-04-08-00045)
03-04-2009: Review of Medicare Payments to Managed Care Plans on Behalf of Deceased Enrollees (A-07-07-01046)
03-03-2009: Review of Retiree Drug Subsidy Plan Sponsor Hallmark Cards, Inc., for Plan Year Ended December 31, 2006 (A-07-08-03111)
02-27-2009: Review of High-Dollar Payments for New Mexico and Oklahoma Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1 through December 31, 2004 (A-06-08-00035); Hospital Compliance With Medicare’s Postacute Care Transfer Policy During Fiscal Years 2003 Through 2005 (A-04-07-03035); Review of Pension Costs Claimed for Medicare Reimbursement by CareFirst of Maryland, Incorporated, for Fiscal Years 2002 Through 2005 (A-07-07-00244); Review of the Qualified Pension Plan at CareFirst of Maryland, Incorporated, a Terminated Medicare Contractor, for the Period January 1, 2002, to December 31, 2005 (A-07-07-00243)
02-24-2009: Follow-up Review of the Medicaid Drug Rebate Program in Ohio (A-04-08-07005)
02-20-2009: Review of Connecticut’s Community Based Medicaid Administrative Claim for State Fiscal Year 2004 (A-01-06-00008)
02-17-2009: Review of High-Dollar Payments for Missouri Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1 through December 31, 2005 (A-06-08-00030)
02-12-2009: Review of High-Dollar Payments for Pennsylvania Medicare Part B Claims Processed by Highmark Medicare Services for the Period January 1, 2003, Through December 31, 2005 (A-03-07-00016)
02-11-2009: Review of Retiree Drug Subsidy Plan Sponsor Screen Actors Guild – Producers Health Plan for Plan Year Ended December 31, 2006 (A-09-09-00032); Review of Retiree Drug Subsidy Costs Reported by the City of Fall River for Plan Years 2006 and 2007 (A-01-08-00607)
02-10-2009: Review of CareFirst Blue Cross/Blue Shield of Maryland Medicare Part A Final Administrative Cost Proposals for Fiscal Years 2003 – 2005 (A-03-06-00002)
02-09-2009: Review of State Plan Amendments Authorizing Disproportionate Share Hospital Payments by Pennsylvania to Hospitals of State-Related Universities (A-03-07-00222); Review of Oxaliplatin Billing at San Jacinto Methodist Hospital for Calendar Years 2004 and 2005 (A-06-08-00085); Review of Emergency Health Services at Orlando Regional Healthcare Furnished to Undocumented Aliens Covered by Section 1011 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (A-04-07-07030); Review of High-Dollar Payments for Medicare Outpatient Claims Processed by TriSpan Health Services for the Period January 1 Through December 31, 2006 (A-06-08-00094); Review of High-Dollar Payments for Medicare Part B Claims Processed by NHIC, Corp., for Calendar Years 2004–2006 (A-01-08-00514)
02-06-2009: Review of Section 1915(c) Mental Retardation or Related Conditions Waiver Services at ACR Homes, Inc., From July 1, 2004, Through June 30, 2005 (A-05-08-00025); Review of Medicaid Credit Balances at Mercy Hospital as of April 1, 2008 (A-05-08-00063)
02-02-2009: Review of Medicaid Inpatient Hospital Transfer Payments in Indiana for October 1, 2003, Through September 31, 2006 (A-05-07-00081)
01-26-2009: Review of Retiree Drug Subsidy Plan Sponsor Union Bank of California, N.A., for Plan Year Ended December 31, 2006 (A-09-09-00031)
01-23-2009: Review of Oxaliplatin Billing at San Angelo Community Medical Center for Calendar Year 2004 (A-06-08-00083)
01-22-2009: Follow-Up Audit of the Medicaid Drug Rebate Program in Alaska (A-09-08-00051)
01-21-2009: Review of Oxaliplatin Billing at Lovelace Medical Genter – Gibson for Calendar Year 2004 (A-06-08-00082); Review of Administrative and Clerical Costs at Duke University for the Period October 1, 2002, Through September 30, 2004 (A-04-05-01014); Review of High-Dollar Payments for Medicare Outpatient Claims Processed by TriSpan Health Services for the Period January 1 Through December 31, 2005 (A-06-08-00095)
01-16-2009: Iowa’s Medicaid Payments Claimed for Children’s Remedial Services (A-07-08-03112); Review of High-Dollar Payments for Missouri Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1 Through December 31, 2004 (A-06-08-00029)
01-15-2009: Review of Retiree Drug Subsidy Costs Reported by the City of Boston for Plan Years 2006 and 2007 (A-01-08-00605)
01-13-2009: Review of High-Dollar Payments for Medicare Outpatient Services Processed by Pinnacle Business Solutions, Inc., During Calendar Year 2005 (A-06-08-00042)
01-09-2009: Review of Medicaid Overpayments at Victorian Villa Rehabilitation & Living Center for Calendar Years 2004 Through 2006 (A-01-08-00012)
01-06-2009: Review of Medicaid Outpatient Drug Expenditures in Connecticut for the Period October 1, 2003, Through September 30, 2005 (A-01-07-00003)
01-04-2009: Review of Medicaid Overpayments at Ledgeview Living Center for Calendar Years 2004 Through 2006 (A-01-08-00010)
12-15-2008: Review of High-Dollar Inpatient Claims Processed by Cahaba Government Benefit Administrators Fiscal Intermediary No. 00011 for the Period January 1, 2004, Through December 31, 2006 (A-04-08-00040)
12-17-2008: Review of New Mexico’s Medicaid Administrative Costs for the Quarter Ended September 30, 2004 (A-06-07-00072)
12-12-2008: Review of High-Dollar Payments for Outpatient Services Processed by First Coast Service Options, Inc., for the Period January 1, 2004, Through December 31, 2005 (A-04-08-06008)
12-11-2008: Review of Via Christi Regional Medical Center’s Reported Fiscal Year 2005 Wage Data (A-07-07-02726); Review of High-Dollar Payments for Inpatient Services Processed by First Coast Service Options, Inc., for the Period January 1, 2004, Through December 31, 2005 (A-04-07-06020)
12-10-2008: Review of Medicaid Credit Balances at Weiss Hospital as of February 29, 2008 (A-05-08-00049)
12-09-2008: Review of High-Dollar Payments for Outpatient Services Processed by Palmetto GBA for the Period January 1, 2004, Through December 31, 2005 (A-04-08-06010)
12-04-2008: Review of High-Dollar Skilled Nursing Facility Claims Processed by Cahaba Government Benefit Administrators Fiscal Intermediary No. 00011 for the Period January 1, 2004, Through December 31, 2006 (A-04-08-00053); Review of High-Dollar Outpatient Claims Processed by Cahaba Government Benefit Administrators Fiscal Intermediary No. 00011 for the Period January 1, 2004, Through December 31, 2006 (A-04-08-00052)
12-01-2008: Review of High-Dollar Payments for Medicare Part A Outpatient Claims Processed by TriSpan Health Services for the Period January 1 Through December 31, 2004 (A-06-08-00041); Review of Illinois’ Compliance With the “Reimbursement of State Costs for Provision of Medicare Part D Drugs” Demonstration Project Requirements (A-05-08-00066)
11-25-2008: Audit of CIGNA Government Services’ Unaudited Multi-Carrier System Forward Funding Costs for Fiscal Year 2003 (A-04-08-00038)
11-24-2008: New Hampshire Medicaid Payments for Skilled Professional Medical Personnel at the Enhanced Rate From October 1, 2004, Through September 30, 2006 (A-01-07-00011)
11-21-2008: Review of Medicaid Credit Balances at Hennepin County Medical Center as of March 31, 2008 (A-05-08-00065)
11-20-2008: Review of Postretirement Benefit Costs Claimed for Medicare Reimbursement by The Regence Group – Oregon for Fiscal Years 1992 Through 2005 (A-07-08-00282)
11-19-2008: Review of Medicaid Credit Balances at Lakeview Hospital as of February 1, 2008 (A-05-08-00026); Centers for Medicare & Medicaid Services Resolution of Audit Recommendations (A-07-07-04112)
11-17-2008: Review of High-Dollar Outpatient Claims Processed by Cahaba Government Benefit Administrators Fiscal Intermediary No. 00010 for the Period January 1, 2004, Through December 31, 2006 (A-04-08-00051)
11-13-2008: Review of Medicaid Outpatient Drug Expenditures in Tennessee for the Period October 1, 2003, Through September 30, 2005 (A-04-07-00027); Review of Clinic and Practitioner Claims Billed as Family Planning Services Under the New York State Medicaid Program (A-02-07-01037)
11-12-2008: Review of High-Dollar Payments for Maryland and District of Columbia Medicare Hospital Outpatient Claims Processed by Highmark Medicare Services for the Period October 1 Through December 31, 2005 (A-03-07-00014); Review of Medicare Billing for Oxaliplatin at Franklin Memorial Hospital During Calendar Years 2004 and 2005 (A-01-08-00524); Review of Thomas Jefferson University Hospital’s Reported Fiscal Year 2006 Wage Data (A-03-07-00024)
11-10-2008: Review of High-Dollar Part B Claims Processed by CIGNA Government Services Carrier No. 05535 for the Period January 1, 2004, Through December 31, 2006 (A-04-08-00043)
11-06-2008: Review of the Comprehensive Outpatient Rehabilitation Facility Therapy Services Provided by Action Rehabilitation Center, Inc. (A-04-05-02010)
11-04-2008: Review of Pension Costs Claimed for Medicare Reimbursement by Noridian Mutual Insurance Company for Fiscal Years 1999 Through 2005 (A-07-08-00259); Review of Medicare Contractor’s Pension Segmentation Requirements at Noridian Mutual Insurance Company for the Period January 1, 1998, to January 1, 2006 (A-07-08-00258)
11-03-2008: Partnership Review of Medicaid Claims Processed by Cerebral Palsy and Stavros for Personal Care Attendant Services Provided to Beneficiaries During Inpatient Stays (A-01-08-00001)
10-31-2008: Review of Medicare and Medicaid Credit Balances at Merrimack Valley Hospital for the Period Ending December 31, 2007 (A-01-08-00531); Review of Colorado Medicaid Mental Health Capitation and Managed Care Program (A-07-06-04067)
10-30-2008: Review of Medicare Billing for Oxaliplatin at Memorial Hospital of Rhode Island During Calendar Years 2004 and 2005 (A-01-08-00525)
10-28-2008: Review of Allowable Medicare Capital Disproportionate Share Payments for the Period October 1, 2000, Through September 30, 2006 (A-07-08-02735)
10-27-2008: Nationwide Review of the Centers for Medicare & Medicaid Services Health Insurance Portability and Accountability Act of 1996 Oversight (A-04-07-05064)
10-22-2008: Review of Social Security Act Section 1915(c) Waiver Payments for Home and Community-Based Services at Search Developmental Center for July 1, 2004, Through June 30, 2005 (A-05-08-00060); Review of Medicaid Inpatient Hospital Transfer Payments in Michigan for October 1, 2003, through September 30, 2006 (A-05-08-00045)
10-20-2008: Audit of Controls Over Collecting Rebates on Single Source Drugs Administered by Physicians in Massachusetts (A-01-08-00005); Review of Medicaid Graduate Medical Education Revenue in New York State (A-02-04-01015); Review of East Louisiana State Hospital’s Hurricane-Related Uncompensated Care Claims (A-06-07-00024)
10-17-2008: Review of High-Dollar Payments for Medicare Outpatient Claims Processed by National Government Services, Inc., of New Hampshire and Vermont for Calendar Years 2004 Through 2006 (A-01-08-00522); Review of High-Dollar Payments for Medicare Outpatient Claims Processed by National Government Services, Inc., of Massachusetts for Calendar Years 2004 and 2005 (A-01-08-00521)
10-15-2008: Review of Ohio Medicaid Long-Term-Care Payments to Two Providers for the Same Beneficiaries for the Same Dates of Services From October 1, 1998, Through September 30, 2005 (A-05-07-00074); Review of Louisiana’s Hurricane Katrina Healthcare Related Provider Stabilization Grant (A-06-08-00025)
10-14-2008: Review of Medicaid Overpayments at Greenwood Center in Maine for Calendar Years 2004 Through 2006 (A-01-08-00006); Review of Indiana’s Reporting Fund Recoveries for the Medicaid Rehabilitation Option Program on the Form CMS-64 for Fiscal Years 2000 to 2005 (A-05-07-00072); Review of Wisconsin Physicians Service Insurance Corporation High-Dollar Payments for Medicare Part B Claims Processed by Wheatlands Administrative Services, Inc., for the Period January 1, 2003, Through December 31, 2005 (A-07-08-04131); Review of Pension Costs Claimed for Medicare Reimbursement by Nationwide Mutual Insurance Company for Fiscal Years 1987 Through 2002 (A-07-07-00240); Review of the Qualified Pension Plan at Nationwide Mutual Insurance Company, a Terminated Medicare Contractor, for the Period March 1, 1986, to June 30, 2002 (A-07-07-00239)
10-10-2008: Review of Medicaid Outpatient Drug Expenditures in Pennsylvania for the Period October 1, 2003, Through September 30, 2005 (A-03-07-00203); Review of High-Dollar Payments for Medicare Part B Claims Processed by National Government Services for Indiana and Kentucky Providers for the Period January 1, 2004, Through December 31, 2006 (A-05-08-00029)
10-09-2008: Audit of Palmetto Government Benefits Administrators’ Medicare Part B Final Administrative Cost Proposals for Fiscal Years 2004 Through 2006 (A-04-08-04023); Follow-Up Review of the Medicaid Drug Rebate Program in Mississippi (A-04-07-07023)
10-08-2008: Audit of Palmetto Government Benefits Administrators’ Durable Medical Equipment Regional Carrier Final Administrative Cost Proposals for Fiscal Years 2004 Through 2006 (A-04-07-04018); Follow-Up Audit of the Medicaid Drug Rebate Program in Nevada (A-09-08-00026); Review of High-Dollar Payments for Inpatient and Outpatient Claims Processed by Riverbend Government Benefits Administrator for Calendar Years 2004 and 2005 (A-04-07-07020)
10-07-2008: Audit of Palmetto Government Benefits Administrators’ Medicare Part A Final Administrative Cost Proposals for Fiscal Years 2004 Through 2006 (A-04-07-04017)
10-06-2008: Follow-up Audit of the Medicaid Drug Rebate Program in West Virginia (A-03-08-00200); Review of Excessive Payments for Medicare Part B Services Processed by Palmetto GBA in Ohio for Calendar Years 2004 Through 2006 (A-05-08-00030)
10-05-2008: Review of Medicaid Overpayments at Varney Crossing Nursing Care Center for Calendar Years 2004 through 2006 (A-01-08-00008)
10-03-2008: Review of Pension Costs Claimed for Medicare Reimbursement by New Hampshire – Vermont Health Service for Fiscal Years 1988 Through 2002 (A-07-08-00270)
10-02-2008: Review of the Qualified Pension Plan at New Hampshire – Vermont Health Service for the Period January 1, 1986, Through December 31, 2002 (A-07-08-00269); Review of Excessive Payments for Medicare Part B Services Processed by Palmetto GBA in Ohio for Calendar Years 2004 Through 2006 (A-05-08-00031); Review of New York State’s Compliance With the “Reimbursement of State Costs for Provision of Medicare Part D Drugs” Demonstration Project Requirements (A-02-08-01008)
10-01-2008: Review of High-Dollar Payments for Inpatient Services Processed by Palmetto GBA, Intermediary #382, for the Period January 1, 2004, Through December 31, 2005 (A-04-07-06023); Review of High-Dollar Payments for Inpatient Services Processed by Palmetto GBA, Intermediary #380, for the Period January 1, 2004, Through December 31, 2005 (A-04-07-06022); Back to 2009 Top; Back to 2010 Top

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