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Audit (A-03-11-00006)

Review of Medicare Payments Exceeding Charges By $500 to $1,000 for Outpatient Services Processed by Palmetto GBA, LLC, in Jurisdiction 11 for the Period January 1, 2006, Through June 30, 2009

Executive Summary

Our audit found that 619 of the 1,048 selected line items for which Palmetto GBA, LLC, made Medicare payments to providers for outpatient services for the period January 1, 2006, through June 30, 2009, were incorrect. The line items included overpayments totaling approximately $744,000 that the providers had not refunded by the beginning of our audit. Providers refunded overpayments on 91 line items totaling approximately $85,000 before our fieldwork. The remaining 338 line items were correct.

Complete Report

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Office of Inspector General, U.S. Department of Health and Human Services | 330 Independence Avenue, SW, Washington, DC 20201