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12-13-2012

Audit (A-05-11-00112)
The Medicare Contractor's Payments in Jurisdictions 6 and 8 for Full Vials of Herceptin Were Often Incorrect

Executive Summary

For 558 of the 713 line items reviewed, Medicare payments that National Government Services made to providers in Jurisdictions 6 and 8 for full vials of Herceptin were incorrect and included overpayments totaling $683,000, which had not been refunded by the beginning of our audit.

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Exclusions Database Report Fraud

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