Department of Health & Human Services

CGS Administrators, LLC, claimed $23,000 of unallowable Medicare pension costs on its Incurred Cost Proposals for calendar years 2010 and 2011.

CGS Administrators, LLC, claimed unallowable Medicare pension costs of $1,200 for Medicare reimbursement for fiscal years 2008 through 2011.

Medical Ambulance Services, Inc. (MAS), located in San Juan, Puerto Rico, claimed Medicare Part B reimbursement for ambulance services that did not comply with Federal and Commonwealth of Puerto Rico requirements. Of the 100 claims in our random sample, 5 complied with Federal and Commonwealth...

Before the start of our audit, the Iowa Department of Human Services, Iowa Medicaid Enterprise (State agency), did not invoice rebate-eligible physician-administered drugs dispensed to enrollees of Medicaid managed-care organizations (MCOs) in the State. Specifically, the State agency did not...

A Missouri physical therapy practice (the Therapy Practice) claimed Medicare reimbursement for some outpatient physical therapy services that did not meet Medicare reimbursement requirements. Of the 100 beneficiary days in our random sample, the Therapy Practice properly claimed Medicare...

CGS Administrators, LLC (CGS), understated the Medicare segment pension assets by $311,000 as of May 31, 2011. In addition, CGS understated Medicare's share of the Medicare segment excess pension assets by $309,000 as of May 31, 2011, as a result of the Medicare segment closing.

CGS Administrators, LLC (CGS), overstated the Medicare segment pension assets by $1.3 million as of May 31, 2011. In addition, CGS understated Medicare's share of the Medicare segment excess pension liabilities by $748,000 as of May 31, 2011, as a result of the Medicare segment closing.

Economic Opportunity Commission of Nassau County, Inc. (EOC), an Administration for Children and Families (ACF) grantee, claimed approximately $600,000 in unallowable Hurricane Sandy Disaster Relief Act funds.

Mount Sinai Hospital (the Hospital) located in New York, New York, complied with Medicare billing requirements for 151 of the 261 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 110 claims for the audit...

For Federal fiscal years 2010 through 2013, the California Department of Health Care Services (State agency) claimed $58.3 million in Federal reimbursement for Medicaid overpayments that it made to providers who were determined to be bankrupt or out of business (uncollectible overpayments). The...