Report Materials
National Government Services overpaid Medicare providers $109,000
for 7 of the 100 high-dollar payments ($10,000 or more) in our statistical
sample for calendar years (CY) 2003'2005. The 93 remaining sampled payments were
appropriate. National Government Services, the Medicare Part B carrier for
about 38,000 providers in New Jersey, processed 1,265 high-dollar payments
during the audit period.
Providers
refunded four overpayments totaling $96,000 prior to our fieldwork and one
$10,000 overpayment during our fieldwork. Two overpayments totaling $2,800
remained outstanding.
We recommended that National Government Services (1) recover the $2,800 in
overpayments, (2) review the remaining 1,165 high-dollar claims processed
during CYs 2003'2005 with potential overpayments estimated at $1.27 million
($1.37 million less $109,000) and work with the providers that claimed these
services to recover any overpayments, (3) consider identifying and recovering
any additional overpayments made for high-dollar Part B claims paid after CY
2005, and (4) use the results of this audit in its provider education
activities. National Government Services agreed with our recommendations.
Notice
This report may be subject to section 5274 of the National Defense Authorization Act Fiscal Year 2023, 117 Pub. L. 263.