Stay Informed
of New Reports
Twitter
Where To Report Waste
Fraud, Abuse, Or Retaliation
Where To Report Waste Fraud, Abuse, Or Retaliation
Recommendation Details
Text of Recommendation
We recommend that Presbyterian Health Plan, Inc., refund to the Federal Government the $1,302,682 of estimated net overpayments.
Recommendation Number
23-A-07-099.01
Recommendation Status
Open
Significant Recommendation
No
Recommendation Questioned Costs
$1,302,682
Recommendation Funds for Better Use
$0
Associated Report Details
Submitting OIG
Department of Health & Human Services OIG
Linked Report
Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Presbyterian Health Plan, Inc. (Contract H3204) Submitted to CMS