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Office of Evaluation and Inspections Reports
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Paperless Claims
- Encouraging Physicians to Use Paperless Claims (OEI-01-94-00230; 5/96)
- Electronic Data Interchange and Paperless Processing: Issues and Challenges (OEI-12-93-00080;3/94)
Parenteral Nutrition
- Medicare Reimbursement for Parenteral Nutrition (OEI-03-96-00230; 7/97)
- Payments for Referral of Parenteral Nutrition Patients (OEI-12-92-00461; 7/93)
- Inappropriate Payments for Total Parenteral Nutrition (OEI-12-92-00460; 6/93)
Paternity Establishment
- see also: Child Support Enforcement
- Paternity Establishment: Administrative and Judicial Methods (OEI-06-98-00050; 4/00)
- Paternity Establishment: Use of Voluntary Paternity Acknowledgments (OEI-06-98-00053; 4/00)
- Paternity Establishment: Notification of Rights And Responsibilities For Voluntary Paternity Acknowledgment (OEI-06-98-00051; 7/99)
- Paternity Establishment: Use of Alternative Sites for Voluntary Paternity Acknowledgment (OEI-06-98-00052;7/99)
- Paternity Establishment: State Use of Genetic Testing (OEI-06-98-00054; 9/99)
- Paternity Establishment: The Role of Vital Records Agencies (OEI-06-98-00055; 9/99)
- Paternity Establishment: Payment to Vital Records Agencies (OEI-06-98-00056; 7/99)
- In-Hospital Voluntary Paternity Acknowledgment Programs: State Agency and Birthing Hospital Implementation (OEI-06-95-00160; 8/97)
- In-Hospital Voluntary Paternity Acknowledgment Programs: Hospital Experiences in Sample States (OEI-06-95-00161; 8/97)
- In-Hospital Voluntary Paternity Acknowledgment Programs: Effective Practices in Hospital StaffTraining (OEI-06-95-00162; 8/97)
- In-Hospital Voluntary Paternity Acknowledgment Programs: Effective Practices in Parent Outreach (OEI-06-95-00163; 8/97)
- Effective Paternity Establishment Practices: Executive (OAI-06-89-00910; 2/90)
- Effective Paternity Establishment Practices: Technical (OEI-06-89-00911; 2/90)
Patient Advance Directives
- Patient Advance Directives: Early Implementation Experience (OEI-06-91-01130; 8/93)
- Patient Advance Directives: Facility and Patient Responses (OEI-06-91-01131; 8/93)
Patient Counseling Laws
- State Pharmacy Boards' Oversight of Patient Counseling Laws (OEI-01-97-00040; 8/97)
Patient Denial Notices
- Medicare Patient Denial Notices (OAI-09-86-00051; 5/86)
Peer Review Organizations (PROs)
- The Medicare Beneficiary Complaint Process: A Rusty Safety Valve (OEI-01-00-00060; 08/01)
- The Beneficiary Complaint Process of the Medicare Peer Review Organizations (OEI-01-93-00250;11/95)
- Medicare PROs' Role in Identifying and Responding to Poor Performers (OEI-01-93-00251; 12/95)
- The Peer Review Organizations and State Medical Boards: A Vital Link (OEI-01-92-00530; 4/93)
- The Sanction Referral Authority of Peer Review Organizations (OEI-01-92-00250; 4/93)
- Peer Review Organization Criteria for Carotid Endarterectomy (OEI-03-91-00150; 8/92)
- Educating Physicians: A Review of PRO's Efforts (OEI-01-89-00020; 2/92)
- FY 1985 National DRG Validation Study: Peer Review Organization Coding Accuracy (OEI-12-90-00660;8/90)
- The Utilization and Quality Control Peer Review Organization (PRO) Program: An Exploration ofProgram Effectiveness (OAI-01-88-00572; 2/89)
- The Utilization and Quality Control Peer Review Organization (PRO) Program: QualityReview Activities (OAI-01-88-00570; 8/88)
- The Utilization and Quality Control Peer Review Organization (PRO) Program: Sanction Activities (OAI-01-88-00571; 11/88)
- The Utilization and Quality Control Peer Review Organization (PRO) Program: Quality Review Activities (OAI-01-88-00580; 9/88)
Performance Indicators
- Performance Data for the Senior Medicare Patrol Projects: April 2008 Performance Report (OEI-02-08-00120)
- Performance Data for the Senior Medicare Patrol Projects: April 2007 Performance (OEI-02-07-00360; 05/07)
- Performance Data forthe Senior Medicare Patrol Projects: April 2006 Performance (OEI-02-04-00363;05/06)
- Early Implementationof MMA: Status Report of the State Health Insurance AssistancePrograms (OEI-05-05-00190; 03/06)
- Performance Data forthe Senior Medicare Patrol Projects: December 2005 Performance (OEI-02-04-00362; 12/05)
- Performance Data for the SeniorMedicare Patrol Projects: May 2005 Performance (OEI-02-04-00361; 07/05)
- Performance Data for the Senior Medicare Patrol Project October 2004 Performance (OEI-02-04-00360)
- Performance Data for the Senior Medicare Patrol Projects:April 2004 Performance (OEI-02-03-00122; 05/04)
- Performance Data for the Senior Medicare Patrol Projects: October 2003 Performance (OEI-02-03-00121)
- Data for the Senior Medicare Patrol Projects: March 2003 Performance (OEI-02-03-00120;04/03)
- Performance Data for the Senior Medicare Patrol Projects: August 2002 Performance (OEI-02-02-00560;08/02)
- Performance Data for the Senior Medicare Patrol Projects: March 2002 Performance (OEI-02-02-00240;02/02)
- Clinical Performance Measures for Dialysis Facilities Building on the Experiences of the Dialysis Corporations (OEI-01-99-00052; 01/02)
- Clinical Performance Measures for Dialysis Facilities Practices of the Major Dialysis CorporationsSupplemental Report #1 (OEI-01-99-00053; 01/02)
- Clinical Performance Measures for Dialysis Facilities Lessons Learned by the Major Dialysis Corporationsand Implications for Medicare: Supplemental Report # 2 (OEI-01-99-00054; 01/02)
- 24-Month Performance Data for the HIPAA-Funded Project Grantees (OEI-02-97-00524; 12/99)
- 24-Month Performance Data for Senior Medicare Patrol Projects (OEI-02-97-00523; 9/99)
- Early Efforts by States to Monitor Outcomes of Welfare Reform (OEI-05-98-00130; 1/99)
- Health Care Anti-Fraud Volunteer Project Performance Measures (OEI-02-97-00520; 4/98)
- Medicare Risk HMO Performance Indicators (OEI-06-91-00734; 10/95)
- Early and Periodic Screening, Diagnosis, and Treatment--Performance Measurement (OEI-07-90-00130;8/92)
- Performance Indicators, Annual Reports, and State Medical Discipline: A State-by-State Review (OEI-01-89-00563; 7/91)
- Evaluating Head Start Expansion Through Performance Indicators (OEI-09-91-00762; 5/93)
- Performance Indicators in the JOBS Program (OEI-12-91-01380; 7/92)
Perinatal
- see: Pregnancy
Personnel/Staff
- Personnel Suitability and Security (OAI-02-86-00079; 11/87)
- Ethics in Government (OEI-02-90-00710; 5/90)
Pharmacists
- see also: Drugs and Drug Industry
- Medicaid Recovery of Pharmacy Payments from Liable Third Parties (OEI-03-00-00030; 08/01)
- Prescription Drug Use In Nursing Homes - Report 1 - An Introduction Based on Texas (OEI-06-96-00080;11/97)
- Prescription Drug Use In Nursing Homes - Report 2 - An Inside View by Consultant Pharmacists (OEI-06-96-00081;11/97)
- Prescription Drug Use In Nursing Homes - Report 3 - A Pharmaceutical Review and Inspection Recommendations (OEI-06-96-00082; 11/97)
- State Pharmacy Boards' Oversight of Patient Counseling Laws (OEI-01-97-00040; 8/97)
- Experiences of Health Maintenance Organizations with Pharmacy Benefit Management Companies (OEI-01-95-00110;4/97)
- FDA's Urgent Notices (OEI-07-94-00631; 7/96)
- The Clinical Role of the Community Pharmacist (OEI-01-89-89160; 12/90)
- The Clinical Role of the Community Pharmacist: Case Studies (OEI-01-89-89161; 12/90)
- State Discipline of Pharmacists (OEI-01-89-89020; 8/90)
Pharmacy
Physical Therapy
- Physical , Occupational, and Speech Therapy for Medicare Nursing Home Patients:Medical Necessity and Qualiy of Care Based on Treatment Diagnosis (OEI-09-99-00563; 08/01)
- Physical, Occupational, and Speech Therapy for Medicare Nursing Home Patients: Medical Necessity,Cost and Documentation Under the $1500 Therapy Caps (OEI-09-99-00560; 08/01)
- Monitoring Part B Therapy for Skilled Nursing Facilities Patients (OEI-09-99-00550; 11/00)
- Medical Necessity of Physical and Occupational Therapy in Skilled Nursing Facilities: CaliforniaProbe Sample Results [Early Alert] (OEI-09-97-00120; 4/98)
- Physical Therapy in Physicians' Offices (OEI-02-90-00590; 3/94)
Physician Credentials
- Physicians Applying for Federal Service: Requirements and Credentials Verification (OAI-05-88-00750;10/88)
Physician Offices
- see also: Surgery
- Hospital Ownership of Physician Practices (OEI-05-98-00110; 9/99)
- Physical Therapy in Physicians' Offices (OEI-02-90-00590; 3/94)
- Physician Office Surgery (OEI-07-91-00680; 6/93)
- Monitoring Services Provided in Physicians' Offices (OEI-02-90-00410; 3/91)
- Quality Assurance in Physician Office Labs (OAI-05-88-00330;)
Physician Services
- Medicare Payments for Facet Joint Injection Services (OEI-05-07-00200)
- Cost andPerformance of Medicare's 2005 Chemotherapy Demonstration Project (OEI-09-05-00171)
- Allergen Immunotherapyfor Medicare Beneficiaries (OEI-09-00-00531; 03/06)
- Comparing Medicare Physician Payments to Private Payers (OEI-06-00-00570; 01/03)
- The Physician's Role in Medicare Home Health 2001 (OEI-02-00-00620; 12/01)
- Physician Perspectives of Medicare HMOs (OEI-02-97-00070; 5/98)
- Coding of Physician Services (OEI-03-91-00920; 5/94)
- A Compendium of Reports and Literature on Coding of Physician Services (OEI-03-91-00921; 5/94)
- Monitoring Services Provided in Physicians' Offices (OEI-02-90-00410; 3/91)
- Problems with Coding of Physician Services: Medicare Part B (OAI-04-88-00700; 2/89)
- Medicare Physician Consultation Services (OAI-02-88-00650; 6/88)
Pocket Dopplers
Podiatrists
- Medicare Payments for Surgical Debridement Services in 2004 (OEI-02-05-00390)
- Medicare Payments for Nail Debridement Services (OEI-04-99-00460)
- State Licensure and Discipline of Podiatrists (OAI-01-88-00583; 12/88)
Portable Imaging Services
- Portable Imaging Services: Nursing Home Perspectives (OEI-09-95-00091; 11/97)
- Portable Imaging Services: A Costly Option (OEI-09-95-00090; 11/97)
Pregnancy
- Routine Prenatal and Postpartum Care for Undocumented Aliens (OEI-07-96-00310; 5/98)
- The Perinatal Service Capacity of the Federally Funded Community Health Centers: Urban Centers (OEI-01-90-02330; 12/92)
- The Perinatal Service Capacity of the Federally Funded Community Health Centers: Rural Centers (OEI-01-90-02331; 12/92)
- The Perinatal Service Capacity of the Federally Funded Community Health Centers: An Overviews (OEI-01-90-02332; 12/92)
- Comprehensive Perinatal Care Program (OEI-01-90-00460; 11/90)
- Medicaid Access to Prenatal Care (OEI-06-90-00162; 10/90)
- Prenatal Substance Exposure: State Child Welfare Laws and Procedures (OEI-03-90-02000; 5/92)
- Medicaid Expansions for Prenatal Care: State and Local Implementation (OEI-06-90-00160; 2/92)
Prenatal
- see: Pregnancy
Preprocedure Review
- see: Surgery
Pressure Reducing Support Surfaces
- Medicare Payments for Pressure Reducing Support Services (OEI-02-95-00370; 6/97)
Program Support Center (PSC)
- The Program Support Center's Personnel Service: Customer Service Evaluation (OEI-09-98-00140,3/00)
Proprietary Schools
- The JOBS Program and Proprietary Schools (OEI-02-91-00210;)
Provider Numbers
Psychiatric
- Medicare Outpatient Psychiatric Services (OAI-09-86-00056; 11/85)
Public Health Programs
- Public Health and Managed Care: Opportunities for Collaboration (OEI-01-98-00170; 7/99)
- The Children's Health Insurance Program - States' Application and Enrollment Processes: An EarlyReport From the Front Lines (OEI-05-98-00310; 5/99)
- Results-Based Systems for Public Health Programs, Volume 1: Lessons from State Initiatives (OEI-05-96-00260;9/97)
- Results-Based Systems for Public Health Programs, Volume 2: State Case Studies (OEI-05-96-00261;9/97)
Publications
- Medicare Managed Care: Goals of National Marketing Guide (OEI-03-98-00270; 2/00)
- Medicare Managed Care: Marketing Materials (OEI-03-98-00271; 2/00)
- Beneficiary Awareness of HCFA Publications in 1997 (OEI-04-97-00033; 9/98)
- "Know Your Number" Brochure: Perspectives of Dialysis Patients (OEI-06-95-00320; 1/97)
- "Know Your Number" Brochure: Experiences of Dialysis Facilities (OEI-06-95-00321; 1/97)
- Beneficiary Satisfaction with 1996 Medicare Handbook (OEI-04-96-00280; 2/97)
- Beneficiary Awareness of HCFA Publications (OEI-04-93-00141; 6/95)