Reviews of Medicare Contractors' Payments for Selected Outpatient Drugs
The Centers for Medicare & Medicaid Services pays Medicare claims through the Medicare contractor in each of 13 Medicare jurisdictions. From July 1, 2009, through June 30, 2012, Medicare contractors nationwide paid providers $11.5 billion for 26 million claim line items for outpatient drugs. Previous OIG reviews of outpatient services found that Medicare contractors overpaid providers by more than $122.4 million for selected outpatient drugs. Because of the significant overpayments identified in those reviews, we performed 13 individual reviews of payments for selected outpatient drugs at the Medicare contractors.
A summary of the results of all 13 reviews can be found in Medicare Part B Overpaid Millions for Selected Outpatient Drugs (A-09-14-02024). To find the review associated with the Medicare contractor in a particular Medicare jurisdiction, click on the map below.
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