What's New
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September, 2008
09/15/08
09/10/08
09/04/08
09/02/08
August, 2008
08/28/08
08/26/08
08/25/08
08/21/08
08/19/08
08/15/08
08/12/08
08/11/08
08/05/08
- Audit of Medicare Part A Administrative Costs for the Period October 1, 2005, Through September 30, 2006—United Government Services (A-05-08-00046)
- Review of the Medicaid Drug Rebate Program in Illinois (A-05-08-00011)
- New State False Claims Reviews: RI, GA, NH, OK, and NM
- Modified State False Claims Reviews: CA, IN, LA, FL, and MI
08/01/08
July, 2008
07/31/08
07/29/08
07/25/08
07/23/08
07/22/08
- Review of High-Dollar Payments for Rhode Island Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for Calendar Years 2004 Through 2006 (A-01-08-00504)
- Review of Wisconsin Physicians Service Insurance Corporation High-Dollar Payments for Medicare Part A Claims Processed by Wheatlands Administrative Services, Inc., for the Period January 1, 2003, Through December 31, 2005 (A-07-08-04132)
- Review of Wisconsin Physicians Service Insurance Corporation High-Dollar Payments for Medicare Part A Claims Processed by Blue Cross Blue Shield of Nebraska for the Period January 1, 2003, Through December 31, 2005 (A-07-08-04133)
- Review of Mutual of Omaha's Medicare Part A Emergency Department Adjustments for Inpatient Psychiatric Facilities (A-01-07-00519)
- Review of Broward General Medical Center's Reported Fiscal Year 2006 Wage Data (A-04-07-06034)
07/18/08
07/17/08
07/16/08
07/10/08
07/09/08
- Review of Pension Costs Claimed for Medicare Reimbursement by Blue Cross Blue Shield of Wyoming for Fiscal Years 1986 Through 2007 (A-07-08-00263)
- Review of the Qualified Pension Plan at Blue Cross Blue Shield of Wyoming, a Terminated Medicare Contractor, for the Period January 1, 1986, to January 1, 2007 (A-07-08-00262)
- Review of High-Dollar Payments for Part B Services Processed by First Coast Service Options, Inc. for the Period January 1, 2004, Through December 31, 2006 (A-04-07-06021)
- Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
- Exclusions and Reinstatements Occurring in the Month of June 2008
- Testimony of Robert Vito, Regional Inspector General for Evaluation and Inspections, Office of Inspector General, U.S. Department of Health and Human Services, before the U.S. Senate Permanent Subcommittee on Investigations, Committee on Homeland Security and Governmental Affairs (PDF)
07/08/08
07/07/08
- Advisory Opinion 08-07 (PDF)
(concerning a proposal for a health care system to provide $10 gift cards to
patients whose service expectations were not met)
07/03/08
07/02/08
07/01/08
June, 2008
06/30/08
06/24/08
06/23/08
06/19/08
06/18/08
- Review of Nursing and Allied Health
Education Payments to St. Elizabeth Medical Center for the Period January 1,
2004, Through December 31, 2004 (A-02-05-01027)
- Review of Long-Term Care Hospital
Classification - Asheville Specialty Hospital (A-04-07-00035)
- Follow-Up Audit of the Medicaid Drug
Rebate Program in Montana (A-07-07-03101)
- Review of Long-Term Care Hospital
Classification - Specialty Hospital of Jacksonville (A-04-07-00030)
- Audit of Termination Costs Claimed by
Blue Cross Blue Shield of Arizona for the Period October 1, 2006, Through
November 30, 2007 (A-09-08-00030)
- Review of Undistributable Child
Support Collections in Riverside County, California, from October 1, 1998,
Through March 31, 2006 (A-09-07-00049)
06/16/08
06/13/2008
06/12/08
06/11/08
06/06/08
06/05/08
06/04/08
06/03/08
May, 2008
05/30/08
05/23/08
05/21/08
05/20/08
05/19/08
05/16/08
05/15/08
05/13/08
05/09/08
05/06/08
05/02/08
April, 2008
04/29/08
04/28/08
04/24/08
04/23/2008
04/18/08
04/17/08
04/16/08
04/15/08
04/11/2008
04/09/2008
04/04/08
04/02/08
March, 2008
03/27/08
03/26/08
03/25/08
03/19/08
03/13/08
03/12/08
03/10/08
03/07/08
03/05/08
03/04/08
03/03/08
February, 2008
02/28/08
02/27/08
02/22/08
02/20/08
02/13/08
02/12/08
02/08/08
- Statement of Organization, Functions,
and Delegations of Authority: Federal Register Notice (PDF)
- Advisory Opinion
08-03 (PDF)
(concerning a proposed arrangement by which a health care system would provide
prompt pay discounts to Federal health care program beneficiaries and other
insured patients in connection with both inpatient and outpatient care)
- Medicaid Payments for Services
Provided to Beneficiaries With Concurrent Eligibility in Indiana and Illinois
for July 1, 2005, Through June 30, 2006 - Indiana Family and Social Services
Administration (A-05-06-00070)
- Review of Retiree Drug Subsidy Plan
Sponsor Blue Cross Blue Shield of Massachusetts, Inc., for Plan Year Ended
December 31, 2006) (A-01-07-00603)
- Review of Kansas's Medicaid Payments
for Targeted Case Management for the Period July 1, 2000, Through June 30, 2003
(A-07-06-03074)
- Review of UMass Memorial Medical
Center's Reported Fiscal Year 2006 Wage Data (A-01-07-00509)
02/07/08
02/06/08
02/05/08
- Advisory Opinion
08-02 (PDF)
(concerning a marketing and research company's proposal to encourage physicians
and other health care professionals to complete online surveys by offering them
the opportunity to designate a public charity to which the company or one of
its clients would make a monetary charitable contribution)
- Review of New Jersey Medicaid
Contingency Fee Contract Payments for the Period April 1, 1996, Through June
30, 2001 (A-02-06-01006)
- Medicaid Payments for Services
Provided to Beneficiaries With Concurrent Eligibility in Illinois and Indiana
for July 1, 2005, Through June 30, 2006 - Illinois Department of Healthcare and
Family Services (A-05-06-00069)
- Review of Undistributable Child
Support Collections in Florida From October 1, 1998, Through December 31, 2005
(A-04-06-03508)
- Review of Undistributable Child
Support Collections in Maryland From October 1, 1998, Through December 31, 2005
(A-03-06-00565)
02/01/08
- Advisory Opinion
08-01 (PDF)
(concerning a non-profit corporation's program that arranges for pharmaceutical
manufacturer patient assistance programs to provide donated drugs to free
clinics and Federally qualified health centers (FQHCs) for use by
financially-needy patients who do not have any form of outpatient prescription
drug insurance coverage)
January, 2008
01/31/08
01/24/08
01/23/08
01/18/08
01/17/08
01/16/08
01/14/08
- Advisory Opinion
07-21 (PDF)
(concerning an arrangement in which a hospital has agreed to share with a group
of cardiac surgeons a percentage of the hospital's cost savings arising from
the surgeons' implementation of a number of cost reduction measures in certain
surgical procedures)
- Advisory Opinion
07-22 (PDF)
(concerning an arrangement in which a hospital has agreed to share with a group
of anesthesiologists a percentage of the hospital's cost savings arising from
the anesthesiologists' implementation of a number of cost reduction measures
related to anesthesia services provided during cardiac surgical procedures)
- Review of Postretirement Benefit Costs
Claimed for TrailBlazer Health Enterprises for Medicare Reimbursement by Blue
Cross Blue Shield of South Carolina for Fiscal Years 2000 Through 2004 (A-07-07-00229)
- Review of High-Dollar Payments for
Oklahoma Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc.,
for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00088)
- Review of High-Dollar Payments for New
Mexico Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc.,
for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00087)
- Review of High-Dollar Payments for
Missouri Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc.,
for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00086)
- Review of High-Dollar Payments for
Louisiana Medicare Part B Claims Processed by Pinnacle Business Solutions,
Inc., for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00085)
- Review of High-Dollar Payments for
Medicare Part A Claims Processed by Pinnacle Business Solutions, Inc., for the
Period January 1, 2003, Through December 31, 2003 (A-06-07-00057)
01/10/08
01/08/08
01/03/08
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