Centers for Medicare and Medicaid Services (CMS)

Archive CMS Document Archive

FY 2009

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)
04-20-2009: 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)

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