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Audit (A-04-09-06104)

10-07-2009
Review of Medicare Outpatient Payments for Oxaliplatin in West Virginia

Executive Summary

National Government Services (a Medicare fiscal intermediary for West Virginia) made overpayments totaling $433,000 for oxaliplatin drug services provided during calendar year 2005. These overpayments occurred primarily because the hospitals did not update their systems following a change in Medicare billing guidance.

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