E | Office of Evaluation and Inspections

Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

• CMS Needs To Do More To Improve Medicaid Children's Utilization of Preventive Screening Services (OEI-05-13-00690)
• Medicaid Managed Care and EPSDT (OEI-05-93-00290; 5/97)
• Children's Dental Services Under Medicaid: Access and Utilization (OEI-09-93-00240; 4/96)
• Early and Periodic Screening, Diagnosis, and Treatment--Performance Measurement (OEI-07-90-00130; 8/92)

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Educational Resource Centers

• Centers for Disease Control and Prevention's Educational Resource Centers (OEI-04-92-00900; 3/96)

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Electronic Data

• Early Review of States' Planned Medicaid Electronic Health Record Incentive Program Oversight (OEI-05-10-00080)
• Medicare Part D Plan Sponsor Electronic Prescribing Initiatives (OEI-05-08-00322)
• Medicare Part D E-Prescribing Standards: Early Assessment Shows Partial Connectivity (OEI-05-08-00320)
• State Medicaid Agencies' Initiatives on Health Information Technology and Health Information Exchange (OEI-02-06-00270)
• HIPAA Readiness: Administrative Simplification for Medicare Part B Providers (OEI-09-02-00422;06/03)
• HIPAA Readiness: Administrative Simplification for Medicare Part A Providers (OEI-09-02-00421; 05/03)
• HIPAA Readiness: Administrative Simplification (1) (OEI-09-02-00420; 03/03)
• HIPAA Readiness: Administrative Simplification (2) (OEI-09-02-00423; 03/03)
• Encouraging Physicians to Use Paperless Claims (OEI-01-94-00230; 5/96)
• Electronic Data Interchange and Paperless Processing: Issues and Challenges (OEI-12-93-00080; 3/94)
• Electronic Media Claims and Contractors' For-Profit Subsidiaries (OEI-12-91-01410; 7/92)

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Electronic Funds Transfer

• Electronic Funds Transfer for Medicaid Providers (OEI-01-91-00821; 6/92)
• Point-of-Service Claims Management Systems for Medicaid (OEI-01-91-00820; 5/92)

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Eligibility

• Data Inadequacies Undermine CMS's Oversight of the Inconsistency Resolution Process for the Federal Marketplace (OEI-01-14-00620)
• State Use of Express Lane Eligibility for Medicaid and CHIP Enrollment (OEI-06-15-00410)
• Access to Care: Provider Availability in Medicaid Managed Care (OEI-02-13-00670)
• Public Assistance Reporting Information System: State Participation in the Medicaid Interstate Match is Limited (OEI-09-11-00780)
• CMS and Its Contractors Have Adopted Few Program Integrity Practices To Address Vulnerabilities in EHRs (OEI-01-11-00571)
• Some States Improperly Restrict Eligibility for Medicaid Mandatory Home Health Services (OEI-07-13-00060)
• Part D Plans Generally Include Drugs Commonly Used by Dual Eligible: 2013 Report (OEI-05-13-00090)
• Most States Anticipate Implementing Streamlined Eligibility and Enrollment by 2014 (OEI-07-10-00530)
• ACF Strengthened its Oversight of Head Start Eligibility in Fiscal Year 2011 (OEI-05-11-00140)
• Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2012 (OEI-05-12-00060)
• Part D Plans Generally Cover Drugs Commonly Used By Dual Eligibles (OEI-05-10-00390)
• Medicare Hospice Beneficiaries: Services and Eligibility (OEI-04-93-00270; 4/98)
• State Income and Eligibility Verification Systems: State Profiles (OEI-06-92-00081; 10/94)
• State Income and Eligibility Verification Systems: Summary of Literature (OEI-06-92-00082; 10/94)
• Reforms Are Needed In State Income and Eligibility Verification Systems (OEI-06-92-00080; 7/94)
• Medicare Entitlement Age (OEI-07-91-01600; 8/93)
• AFDC Pre-Eligibility Verification Measures (OEI-04-91-00100; 8/93)
• AFDC Pre-Eligibility Fraud Investigative Units (OEI-04-91-00101; 3/95)
• Catalogue of Automated Front-End Eligibility Verification Techniques (OAI-12-85-00051; 9/85)
• Eligibility Errors Resulting in Misspent Funds in the Medicaid Program (OAI-04-87-00014; 5/88)

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Emergency Medical Treatment and Labor Act (EMTALA)

• The Emergency Medical Treatment and Labor Act: Survey of Hospital Emergency Departments (OEI-09-98-00220; 1/01)
• The Emergency Medical Treatment and Labor Act: The Enforcement Process (OEI-09-98- 00221; 1/01)

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Emergency Preparedness

• State and Local Pandemic Influenza Preparedness: Medical Surge (OEI-02-08-00210)
• Local Pandemic Influenza Preparedness: Vaccine and Antiviral Drug Distribution and Dispensing (OEI-04-08-00260)
• Laboratory Preparedness for Pandemic Influenza (OEI-04-07-00670)
• Emergency Response to Hurricane Katrina: Use of the Government Purchase Card (OEI-07-06-00150; 5/07)
• The Commissioned Corps? Response to Hurricanes Katrina and Rita (OEI-09-06-00030; 2/07)

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Emergency Rooms

• Medicare Payments for Diagnostic Radiology Services in Emergency Departments Report (OEI-07-09-00450)
• Medicare's Reimbursement for Interpretations of Hospital Emergency Room X-Rays (OEI-02-89-01490)
• Specialty Coverage in Hospital Emergency Departments (OEI-01-91-00771; 8/92)
• Use of Emergency Rooms by Medicaid Recipients (OEI-06-90-00180; 3/92)
• Controlling Emergency Room Use: State Medicaid Reports (OEI-06-90-00181; 3/92)

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Employee Retirement Income Security Act (ERISA)

• see also: Insurance
• Effect of ERISA on State Insurance Laws (OEI-12-91-01420; 8/91)

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Employer Group Health Insurance (EGHP)

• see also: Insurance
• Medicaid Payments of Premiums for Employer Group Health Insurance (OEI-04-91-01050; 5/94)

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Employment Programs

• see also: Job Opportunities and Basic Skills (JOBS)
• Employment Programs for Persons with Developmental Disabilities (OEI-07-98-00260; 8/99)

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Endoscopies

• Medicare Coverage of Endoscopic Examination of the Lower Gastrointestinal Tract (OAI-02-88-00090;5/89)

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End-Stage Renal Disease (ESRD)

• Medicare Market Shares of Mail Order Diabetes Test Strips From April to June 2016 (OEI-04-16-00470)
• Medicare Market Shares of Mail Order Diabetes Test Strips 3 Months After the Start of the National Mail Order Program (OEI-04-13-00682)
• Medicare Market Shares of Mail Order Diabetes Test Strips Immediately Prior to the National Mail Order Program (OEI-04-13-00681)
• Medicare Market Share of Mail Order Diabetes Test Strips From July-September 2013 (OEI-04-13-00680)
• Update: Medicare Payments for End Stage Renal Disease Drugs (OEI-03-12-00550)
• The ESRD Beneficiary Grievance Process Report (OEI-01-11-00550)
• Inappropriate and Questionable Medicare Billing for Diabetes Test Strips (OEI-04-11-00330)
• Supplier Billing for Diabetes Test Strips and Inappropriate Supplier Activities in Competitive Bidding Areas (OEI-04-11-00760)
• Access to Kidney Dialysis Services at Indian Health Service and Tribal Facilities (OEI-09-08-00581)
• Medicare Market Shares of Mail Order Diabetic Testing Strips (OEI-04-10-00130)
• End Stage Renal Disease Drugs: Facility Acquisition Costs and Future Medicare Payment Concerns (OEI-03-09-00280)
• Renal Dialysis Facilities? Dosage Protocols for Administering Erythropoiesis-Stimulating Agents (OEI-03-09-00010)
• Medicare Reimbursement for End Stage Renal Disease Drugs: Third Quarter 2006 (OEI-03-06-00590)
• Availability of Quality of Care Data in the Medicare End Stage Renal Disease Program (OEI-05-05-00300)
• Home Dialysis Payment Vulnerabilities (OEI-07-01-00570; 05/03)
• Clinical Performance Measures for Dialysis Facilities Building on the Experiences of the Dialysis Corporations (OEI-01-99-00052; 01/02)
• Clinical Performance Measures for Dialysis Facilities Practices of the Major Dialysis Corporations Supplemental Report # 1 (OEI-01-99-00053; 01/02)
• Clinical Performance Measures for Dialysis Facilities Lessons Learned by the Major Dialysis Corporations and Implications for Medicare: Supplemental Report # 2 (OEI-01-99-00054; 01/02)
• Problems Pervade the Renal Beneficiary and Utilization System, (OEI-07-01-00250; 2/02)
• External Quality Review of Dialysis Facilities: A Call for Greater Accountability (OEI-01-99-00050; 6/00)
• External Quality Review of Dialysis Facilities: Two Promising Approaches (OEI-01-99-00051; 6/00)
• Medicare Reimbursement of End Stage Renal Disease Drugs (OEI-03-00-00020; 6/00)
• Effects of the Prospective Payment System on Access to Skilled Nursing Facilities for Patients with End-Stage Renal Disease (OEI-02-99-00402 10/99)
• "Know Your Number" Brochure: Perspectives of Dialysis Patients (OEI-06-95-00320; 1/97)
• "Know Your Number" Brochure: Experiences of Dialysis Facilities (OEI-06-95-00321; 1/97)
• Ambulance Services for Medicare End-Stage Renal Disease Beneficiaries: Medical Necessity (OEI-03-90-02130; 8/94)
• Ambulance Services for Medicare End-Stage Renal Disease Beneficiaries: Payment Practices (OEI-03-90-02131; 8/94)
• Non-Emergency Transportation for Dialysis Patients (OEI-03-90-02132; 8/94)
• Medicare as a Secondary Payment Source: End-Stage Renal Disease (OAI-07-86-00092; 1/88)
• The Access of Dialysis Patients to Kidney Transplantation (OAI-01-86-00107; 3/87)

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Enteral Nutrition

• see also: Medical Devices and Equipment
• Medicare Part B Services During Non-Part A Nursing Home Stays: Enteral Nutrition Therapy (OEI-06-07-00090)
• Medicare Payments for Enteral Nutrition (OEI-03-02-00700; 03/04)
• Medicare Payments for Enteral Nutrition Therapy Equipment and Supplies (OEI-06-92-00866; 5/97)
• Enteral Nutrition Therapy: Medical Necessity (OEI-03-94-00022; 6/97)
• Payments for Enteral Nutrition: Medicare and Other Payers (OEI-03-94-00021; 5/96)
• Enteral Nutrient Payments in Nursing Homes (OEI-06-92-00861; 3/96)
• Coverage of Enteral Nutrition Therapy: Medicare and Other Payers (OEI-03-94-00020; 5/95)

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Estate Recovery

• see: Financial Arrangements

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Ethics

• Drug Compendia Publishers Maintain Transparent Processes for Evaluating Anticancer Drug Therapies and Identifying Potential Conflicts (OEI-07-13-00220)
• Conflicts and Financial Relationships Among Potential Zone Program Integrity Contractors (OEI-03-10-00300)
• Conflict-of-Interest Waivers Granted to HHS Employees in 2009 (OEI-04-10-00010)
• Institutional Conflicts of Interest at NIH Grantees (OEI-03-09-00480)
• CDC's Ethics Program for Special Government Employees on Federal Advisory Committees (OEI-04-07-00260)
• National Institutes of Health?s Handling of Allegations Concerning Conflict of Interest and Ethics Violations (OEI-03-07-00220)
• Outside Activities of Senior-Level NIH Employees (OEI-01-04-00150)
• Outside Activities of FDA Employees (OEI-01-04-00400)
• Indian Health Service: A Management Evaluation of Program Integrity and Ethics Functions (OEI-04-97-00060; 11/98)
• Ethics in Government (OEI-02-90-00710; 5/90)

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Excluded Physicians

• Providers Opting Out of Medicare Prior to Program Exclusion (OEI-04-99-00590;12/00)
• Medicare Payments to OIGExcluded Physicians (OEI-07-98-00380; 8/00)

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Explanation of Medicare Part B Benefits (EOMB)

• Understanding Medical Benefits: The Explanation of Medicare Part B Benefits (OEI-01-93-00120;4/95)

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External Quality Review Organizations (EQRO)

• Lessons Learned from Medicaid's Use of External Quality Review Organizations (OEI-01-98-00210;9/98)