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Inspector General Reports

Report Datesort ascending Agency Reviewed / Investigated Title Type Location
07/17/2023 Department of Health & Human Services High Rates of Prior Authorization Denials by Some Plans and Limited State Oversight Raise Concerns About Access to Care in Medicaid Managed Care Inspection / Evaluation US
07/14/2023 Department of Health & Human Services Florida Did Not Comply With Requirements for Documenting Psychotropic and Opioid Medications Prescribed for Children in Foster Care Audit US
07/13/2023 Department of Health & Human Services HRSA Made COVID-19 Uninsured Program Payments to Providers on Behalf of Individuals Who Had Health Insurance Coverage and for Services Unrelated to COVID-19 Audit US
07/12/2023 Department of Health & Human Services Targeted Provider Relief Funds Allocated to Hospitals Had Some Differences with Respect to the Ethnicity and Race of Populations Served Inspection / Evaluation US
07/10/2023 Department of Health & Human Services Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Excellus Health Plan, Inc. (Contract H3351) Submitted to CMS Audit US
07/06/2023 Multiple Agencies Tracking Pandemic Relief Funds that Went to Local Communities Reveals Persistent Data Gaps and Data Reliability Issues Other Agency-Wide
07/03/2023 Department of Health & Human Services Adverse Events Toolkit: Medical Record Review Methodology Inspection / Evaluation US
06/29/2023 Department of Health & Human Services Part D Plans Generally Include Drugs Commonly Used Dual-Eligible Enrollees: 2023 Inspection / Evaluation US
06/27/2023 Department of Health & Human Services Noridian Healthcare Solutions, LLC, Made $8.8 Million in Improper Capitation Payments to Physicians and Qualified Nonphysician Practitioners in Jurisdiction E for Certain Services Related to End-Stage Renal Disease Audit US
06/26/2023 Department of Health & Human Services A Resource Guide for Using Medicare's Enrollment Race and Ethnicity Data Inspection / Evaluation US

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