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Fraud, Abuse, Or Retaliation
Where To Report Waste Fraud, Abuse, Or Retaliation
Recommendation Details
Text of Recommendation
We recommend that the Contracting Officer require the Association to update its APM to direct local plans to ensure that all debarred and suspended providers in its local area are added to their local provider databases and flagged as debarred or suspended, even if the providers have not previously submitted FEHBP claims (including adding Non-Par providers on the OPM OIG listing, if necessary) so claims paid to them will be flagged if presented to the local Plans as required by the Guidelines.
Recommendation Number
1
Recommendation Status
Open
Significant Recommendation
No
Recommendation Questioned Costs
$0
Recommendation Funds for Better Use
$0