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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 contracting officer disallow $1,944,914 in overcharges to the FEHBP for 2,243 claims that were incorrectly paid due to a system error related to the bundling of ambulatory payment classification claims. The Plan did not attempt to identify FEHBP claim overpayments or make efforts to recover the overpayments.
Recommendation Number
1
Recommendation Status
Open
Significant Recommendation
No
Recommendation Questioned Costs
$1,944,914
Recommendation Funds for Better Use
$0