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The allocable postretirement benefit costs used by CIGNA Government Services, LLC, during calendar years 2007 through 2011 were reasonable and allowable.
Hidalgo Medical Services (HMS), in Lordsburg, New Mexico, did not comply with all applicable Federal requirements and grant terms related to its Patient Protection and Affordable Care Act-funded capital development grant.
University of Minnesota Medical Center (the Hospital) complied with Medicare billing requirements for 125 of the 255 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 130 claims, resulting in overpayments of...
DVA Laboratory Services, Inc. (DVA), did not always comply with Medicare requirements for tests billed with an AY modifier for beneficiaries with end-stage renal disease (ESRD). Specifically, for 62 of the 100 beneficiary-days, DVA submitted separate claims using the AY modifier for tests furnished...
Total Renal Laboratories, Inc. (TRL), did not always comply with Medicare requirements for tests billed with an AY modifier for beneficiaries with end-stage renal disease (ESRD). Specifically, for 60 of the 100 beneficiary-days, TRL submitted separate claims using the AY modifier for tests furnished...
The Utah Department of Technology Services' management had not established an effective enterprise security control structure to ensure that adequate information system general controls were implemented in conformance with Federal requirements over the systems used to support the Utah Department of...
Of the $18.9 million of Child Care and Development Fund targeted fund expenditures that we reviewed, the Commonwealth of Puerto Rico, Department of the Family (State agency), complied with Federal requirements for the use of $6.4 million. However, the State agency did not comply with Federal...
Not all of the Washington Health Benefit Exchange’s (Washington marketplace) internal controls were effective in ensuring that individuals were enrolled in qualified health plans (QHPs) according to Federal requirements.
Although the Montana Department of Public Health and Human Services (State agency) generally complied with Federal Medicaid requirements for invoicing manufacturers for rebates for physician-administered drugs, it claimed unallowable Federal reimbursement for some of these drugs. The State agency...
The State agency claimed costs under Federal fiscal years 2010 through 2013 Centers for Disease Control and Prevention (CDC), Prevention and Public Health Fund (PPHF), awards that were not always in accordance with Federal requirements. Of the 135 sample items with transactions totaling $3.43...
