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Review of High-Dollar Part B Claims Processed by CIGNA Government Services Carrier No. 05440 for the Period January 1, 2004, Through December 31, 2006

Issued on  | Posted on  | Report number: A-04-08-00045

Report Materials

During calendar years (CY) 2004-2006, CIGNA Government Services Carrier No. 05440 (the contractor) overpaid providers in Tennessee $205,000. Generally, the contractor made the overpayments because the providers incorrectly billed excessive units of service. In addition, the Medicare claim processing systems did not have sufficient edits in place during CYs 2004-2006 to detect and prevent payments for these types of erroneous claims.

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

Notice

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