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Audit Report (A-06-08-00066)

11-30-2009
Review of High-Dollar Payments for Medicare Outpatient Claims Processed by TrailBlazer Health Enterprises for the Period January 1 through December 31, 2006

Executive Summary

Fifty-seven of the 75 high-dollar payments that TrailBlazer Health Enterprises (TrailBlazer) made to providers for outpatient services during calendar year 2006 were appropriate. Of the remaining 18 claims, TrailBlazer overpaid providers a total of $1.1 million.

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