Review of Outpatient Claims Processed by Cahaba Government Benefit Administrators That Included Procedures for the Insertion of Multiple Units of the Same Type of Medical Device in Calendar Years 2008 and 2009
Of the 58 claims that we reviewed for calendar years 2008 and 2009, Medicare paid 11 incorrectly for outpatient claims processed by Cahaba Government Benefit Administrators, LLC, that included procedures for the insertion of multiple units of the same type of medical device. These incorrect payments were due to hospitals overstating the number of units and related charges, resulting in net overpayments to hospitals totaling $29,000.
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Priority recommendations summarized.
FY 2016 Work Plan
OIG projects planned for 2016.
Significant OIG activities in 6-month increments.