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Administrative Costs Claimed by Medicare Contractors

Centers for Medicare & Medicaid Services administers the Medicare program through contractors. Contracts between Centers for Medicare & Medicaid Services and the Medicare contractors define the functions to be performed and provide the reimbursement of allowable administrative costs incurred in the processing of Medicare claims. We will review administrative costs claimed by various contractors for their Medicare activities, focusing on costs claimed by terminated contractors. We will also determine whether the costs claimed were reasonable, allocable, and allowable. We will coordinate with Centers for Medicare & Medicaid Services regarding selection of the contractors that we will review. Criteria include Appendix B of the Medicare contract with Centers for Medicare & Medicaid Services and the Federal Acquisition Regulation (FAR) at 48 CFR Part 31.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
October 2017 Centers for Medicare & Medicaid Services Administrative Costs Claimed by Medicare Contractors Office of Audit Services W-00-17-35005; various reviews 2018

Office of Inspector General, U.S. Department of Health and Human Services | 330 Independence Avenue, SW, Washington, DC 20201