Department of Health & Human Services

This report provides the results of our review of the Health Resources and Services Administration (HRSA) detailed accounting submission, which includes the Table of Drug Control Obligations, related disclosures, and management's assertions for the fiscal year ended September 30, 2017. We also...

Carolinas Medical Center (the Hospital), located in Charlotte, North Carolina, complied with Medicare billing requirements for 157 of the 240 inpatient claims that we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 83 claims, resulting in net...

The State survey agency did not always verify the correction of nursing home deficiencies identified during surveys in 2015 in accordance with Federal requirements.

This report provides the results of our review of the Centers for Disease Control and Prevention (CDC) detailed accounting submission, which includes the table of Drug Control Obligations, related disclosures, and management's assertions for the fiscal year ended September 30, 2017. We also reviewed...

For the Medicare Advantage (MA) program, CMS contracts with private insurance companies, known as MA organizations (MAOs), to provide Medicare coverage for 18.6 million beneficiaries. In fiscal year 2016, MA expenses reached $200 billion. In 2012, CMS began collecting detailed information from MAOs...

Wisconsin Physicians Service Insurance Corporation did not claim $1.0 million of allowable fiscal intermediary and carrier contract Medicare pension costs on its Final Administrative Cost Proposals for fiscal years 2008 through 2013.

Wisconsin Physicians Service Insurance Corporation, understated its Medicare segment pension assets as of December 31, 2012, by $242,000.

Wisconsin Physicians Service Insurance Corporation understated the Medicare segment allocable pension costs by $1.5 million and understated the Other segment allocable pension costs used to calculate its indirect cost rates by $7.2 million for calendar years 2008 through 2013.

Wisconsin Physicians Service Insurance Corporation understated its Medicare segment pension assets as of December 31, 2009, by $33,000.

Wisconsin Physicians Service Insurance Corporation understated its Medicare segment pension assets as of December 31, 2013, by $3.2 million.