Only one NGS high dollar payment appropriate
Healthcare Auditing Weekly, April 1, 2008
Only one out of 45 high dollar payments made by National Government Services in 2004 and 2005 to hospitals in Michigan and Wisconsin for outpatient services was appropriate, according to an OIG audit.
The overpayment of the remaining 44 payments topped $2.7 million. The overpayments occurred because National Government Services did not have pre-payment or post-payment controls to identify improper payments at the claim level, according to the audit. Neither the Fiscal Intermediary Standard System nor the Common Working File contained sufficient edits to detect and prevent excessive payments
The OIG recommended that National Government Services recover the overpayments.
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