Report Materials
Ninety-four of the one hundred sampled high-dollar Medicare Part B payments ($10,000 or more) that National Government Services made to providers during calendar years (CY) 2003'2005 were appropriate. However, National Government Services overpaid providers $39,196 for the remaining six payments. Providers refunded two overpayments totaling $30,075 and partially refunded one overpayment ($7,707 of $7,837) prior to the end of our fieldwork. Four overpayments totaling $1,414 remained outstanding. National Government Services, the Medicare Part B carrier for about 48,000 providers in 16 southeastern New York counties, made 942 high-dollar payments in CYs 2003'2005.
We recommended that National Government Services (1) recover the $1,414 in overpayments, (2) review the remaining 842 high-dollar claims processed during CYs 2003'2005 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.