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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 strengthen its system controls to detect and prevent improper payments to providers for incorrectly billed: (1) co-surgery services, (2) assistant-at-surgery services, and (3) duplicate services—which could have saved approximately $4,939,586 during our audit period.
Recommendation Number
23-A-01-018.03
Recommendation Status
Open
Significant Recommendation
No
Recommendation Questioned Costs
$0
Recommendation Funds for Better Use
$4,939,586
Associated Report Details
Submitting OIG
Department of Health & Human Services OIG
Linked Report
Medicare Improperly Paid Physicians for Co-Surgery and Assistant-at-Surgery Services That Were Billed Without the Appropriate Payment Modifiers