Audit (A-04-07-07020)
10-08-2008
Review of High-Dollar Payments for Inpatient and Outpatient Claims Processed by Riverbend Government Benefits Administrator for Calendar Years 2004 and 2005
Executive Summary
Riverbend Government Benefits Administrator overpaid Medicare hospitals $4.9 million for 49 inpatient high-dollar ($200,000 or more) and 51 outpatient high-dollar ($50,000 or more) claims for calendar years 2004 and 2005. We recommended that Riverbend recover the overpayments, and Riverbend agreed.
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