Text of Recommendation | We recommended that CMS direct the Medicare contractors to recover the portion of $11.7 million in identified overpayments (for claims within the 4-year reopening period) resulting from the 40,984 incorrectly billed services and instruct the outpatient providers to refund the portion of the $2,785,607 in deductible and coinsurance amounts (for claims within the 4-year reopening period) that may have been incorrectly collected from beneficiaries or from someone on their behalf. |
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Recommendation Number | 268844 |
Recommendation Status | Open |
Significant Recommendation | No |
Recommendation Questioned Costs | $11,707,874 |
Recommendation Funds for Better Use | $0 |
Submitting OIG | |
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Linked Report |