Most high-dollar payments by National Government Services not appropriate
Healthcare Auditing Weekly, March 11, 2008
Forty-one of 59 high-dollar payments made by National Government Services to hospitals between 2003 and 2005 were not appropriate, according to an OIG audit.
The 41 overpayments totaled just under $3.5 million. The hospitals inappropriately overstated the units of service, sometimes with incorrect procedure codes. The hospitals have already refunded the overpayments.
The OIG offered no recommendations in its report because the overpayments have been refunded and National Government Services has a Fiscal Intermediary Standard System edit to suspend high-dollar outpatient claims for prepayment review.
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