Report Materials
EXECUTIVE SUMMARY:
Our objective was to determine whether the fiscal intermediary, TrailBlazer Health Enterprises (TrailBlazer), calculated Medicare outlier payments to Clinic Resources Management, Inc. (Quitman Clinic) in accordance with Medicare reimbursement requirements. TrailBlazer correctly calculated Medicare outlier payments to Quitman Clinic during the period May 1 through December 31, 2003; however, for the period August 1, 2000, to May 1, 2003, TrailBlazer did not calculate outlier payments in accordance with Medicare reimbursement requirements. As a result, TrailBlazer overpaid Quitman Clinic $8,802,649.
Notice
This report may be subject to section 5274 of the National Defense Authorization Act Fiscal Year 2023, 117 Pub. L. 263.