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Nationwide Review of Improper Medicare Payments for Nonphysician Outpatient Services Under the Prospective Payment System

Issued on  | Posted on  | Report number: A-01-91-00511

Report Materials

EXECUTIVE SUMMARY:

This final audit report points out improper Medicare payments of approximately $38.5 million were made by Medicare fiscal intermediaries (FI) to prospective payment system (PPS) hospitals for nonphysician outpatient services covering the period December 1987 through October 1990. We also identified about $12.9 million due to beneficiaries representing the coinsurance and deductible portions of the improper charges.

Report Type
Audit
HHS Agencies
Centers for Medicare and Medicaid Services
Issue Areas
-
Target Groups
-
Financial Groups
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Notice

This report may be subject to section 5274 of the National Defense Authorization Act Fiscal Year 2023, 117 Pub. L. 263.