With respect to Medicaid patient days, Wisconsin Physicians Service Insurance Corporation (WPS) did not properly settle for Federal fiscal years (FYs) 2010 through 2012 Medicare cost reports submitted by inpatient hospitals in Missouri (Missouri providers) for Medicare disproportionate share hospital (DSH) payments in accordance with Federal requirements. The 20 settled Medicare cost reports that Missouri providers submitted for FYs 2010 through 2012 reflected 612,517 Medicaid patient days. The 10 selected providers (with those 20 associated cost reports) improperly claimed a total of 7,132 Medicaid patient days on their cost reports, resulting in DSH overpayments totaling $3.0 million. These improper claims included both unallowable and unsupported Medicaid patient days and involved patients in the excluded categories of family planning and family planning-related services, the Children's Health Insurance Program, temporary prenatal care services, State-only programs, patients who did not meet the designated spenddown requirements to qualify for spenddown programs, and dual eligibility.
| Report Date | Agency Reviewed / Investigated | Report Title | Type | Location | |
|---|---|---|---|---|---|
| Department of Health & Human Services | Wisconsin Physicians Service Insurance Corporation Did Not Properly Settle Missouri Medicare Disproportionate Share Hospital Payments | Audit |
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View Report | |
| National Archives and Records Administration | Review of the National Archives and Records Administration's Readiness to Implement the Digital Accountability and Transparency Act of 2014 | Other | Agency-Wide | View Report | |
| Department of Veterans Affairs | Clinical Assessment Program Review of the White River Junction VA Medical Center, White River Junction, Vermont | Review |
|
View Report | |
| Department of Justice | Review of the Department’s Implementation of Prosecution and Sentencing Reform Principles under the Smart on Crime Initiative | Inspection / Evaluation | Agency-Wide | View Report | |
| U.S. Postal Service | Internal Controls Over Segmented Inventory – El Cerrito, CA, Main Post Office | Audit |
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View Report | |
| Office of Personnel Management | Audit of the U.S. Office of Personnel Management's Security Assessment and Authorization Methodology | Audit | Agency-Wide | View Report | |
| Peace Corps | Evaluation of Peace Corps/South Africa | Inspection / Evaluation | Agency-Wide | View Report | |
| National Archives and Records Administration | Audit of NARA's Online Access to Digitized Holdings | Audit | Agency-Wide | View Report | |
| Social Security Administration | Vocational Rehabilitation Services Reimbursements for Supplemental Security Income and Disability Insurance Beneficiaries | Audit | Agency-Wide | View Report | |
| Department of the Interior | Royalties Associated with Oil Inventory Adjustment Remain Outstanding | Investigation |
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View Report | |
