Review of High-Dollar Payments for Pennsylvania Outpatient Claims Processed by Highmark Medicare Services for Calendar Years 2003-2005
Highmark Medicare Services (Highmark) overpaid $2.2 million for 28 high-dollar payments it made for hospital outpatient claims in Pennsylvania. Overpayments totaling $1.5 million were refunded either prior to or during our audit. Highmark has initiated recovery of the remaining overpayments totaling $632,000.
Filed under: Center for Medicare and Medicaid Services