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First Coast Service Options, Inc., claimed $33,619 of unallowable fiscal intermediary and carrier contract Medicare pension costs on its Final Administrative Cost Proposals for fiscal years 2008 and 2009.
Prescriber identifiers are a valuable program integrity safeguard. They enable CMS and Part D plan sponsors to determine if legitimate practitioners have prescribed drugs for enrollees. Plan sponsors are required to include prescriber identifiers on the Part D prescription drug event (PDE) records...
Congress has expressed concerns about the safety and well-being of children in foster care. These issues were highlighted in a series of media reports that provided several examples of children who died while in foster care. Accompanying the deaths were allegations of negligence as a contributing...
The District of Columbia's (District) Day Treatment Program (DTP) began in 1984 and was repealed in January 2016. District regulations defined the the DTP as "a nonresidential program operated for the purpose of providing medically supervised day treatment services for elderly persons, children from...
The Administration for Children and Families (ACF) had a process in place to ensure that Head Start grantees took corrective action on A-133 audit findings. Head Start grantees are required to have Single Audits conducted in accordance with Office of Management and Budget Circular A 133 (also known...
The Centers for Medicare & Medicaid Services (CMS) had policies and procedures in place that were generally effective in ensuring that capitation payments to Medicare Advantage (MA) organizations for Medicare Parts A and B services were not made on behalf of deceased beneficiaries after the...
The Patient Protection and Affordable Care Act established the Medicare Shared Savings Program (MSSP) to facilitate coordination and cooperation among providers and suppliers to (1) improve quality of care for Medicare fee-for-service beneficiaries and (2) reduce health care costs. Eligible...
For the 30 grants we reviewed, HRSA awarded Zika Act funds during fiscal year 2017 in compliance with applicable Federal and HHS grant policies. Accordingly, this report contains no recommendations.
The Centers for Medicare & Medicaid Services (CMS) contracted with National Government Services (NGS) to process Part A claims under Medicare contract 00450. CMS requested that we perform an audit of NGS's Medicare Part A final administrative cost proposal for the last three quarters of fiscal years...
The Centers for Medicare & Medicaid Services (CMS) contracted with National Government Services (NGS) to process Part A claims under Medicare contract 00130. CMS requested that we perform an audit of NGS's Medicare Part A final administrative cost proposal for the last three quarters of fiscal years...
