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Review of High-Dollar Payments for Pennsylvania Outpatient Claims Processed by Highmark Medicare Services for Calendar Years 2003-2005

Issued on  | Posted on  | Report number: A-03-07-00011

Report Materials

Highmark Medicare Services (Highmark) overpaid $2.2 million for 28 high-dollar payments it made for hospital outpatient claims in Pennsylvania. Overpayments totaling $1.5 million were refunded either prior to or during our audit. Highmark has initiated recovery of the remaining overpayments totaling $632,000.

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.