U.S. Department of Health & Human Services

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1. Medicaid program integrity: CMS should build on current oversight efforts by further enhancing collaboration with states : report to the Chairman, Committee on Finance, U.S. Senate


3. Medicaid personal care services: more harmonized program requirements and better data are needed : testimony before the Subcommittee on Oversight and Investigations, Committee on Energy and Commerce, House of Representatives


4. Medicare: CMS should evaluate providing coverage for disposable medical devices that could substitute for durable medical equipment : report to Congressional committees


5. CMS validated hospital inpatient quality reporting program data, but should use additional tools to identify gaming


6. Round 2 competitive bidding for CPAP/RAD: disrupted access unlikely for devices, inconclusive for supplies


9. Enhancements needed in the tracking and collection of Medicare overpayments identified by ZPICS and PSCS


11. Medicare payments for clinical diagnostic laboratory tests in 2016: year 3 of baseline data


12. Followup review: CMS's management of the quality payment program


13. Potential misclassifications reported by drug manufacturers may have led to $1 billion in lost Medicaid rebates


14. Round two competitive bidding for oxygen: continued access for vast majority of beneficiaries


15. Round two competitive bidding for enteral nutrition: continued access for vast majority of beneficiaries


17. CMS did not detect some inappropriate claims for durable medical equipment in nursing facilities


19. Questionable billing for compounded topical drugs in Medicare Part D