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Where To Report Waste
Fraud, Abuse, Or Retaliation
Where To Report Waste Fraud, Abuse, Or Retaliation
Recommendation Details
Text of Recommendation
We recommend that the Centers for Medicare & Medicaid Services direct its Medicare contractors to reprocess the physician service claim lines during our audit period for which enrollees were Part A SNF inpatients but the services were incorrectly coded with the nonfacility place-of-services 32 (NF or SNF with no part A coverage) to recover $22,463,193.
Recommendation Number
23-A-04-080.01
Recommendation Status
Open
Significant Recommendation
No
Recommendation Questioned Costs
$22,463,193
Recommendation Funds for Better Use
$0
Associated Report Details
Submitting OIG
Department of Health & Human Services OIG
Linked Report
Medicare Paid Millions More for Physician Services at Higher Nonfacility Rates Rather Than at Lower Facility Rates While Enrollees Were Inpatients of Facilities