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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 require GEHA to revise the Fraud and Abuse Process and Procedure Manual to include investigative processes and procedures that address all of the health benefits applicable to the FEHB plan (including pharmacy drug claims). GEHA should also implement the necessary procedures to ensure proper PBM oversight.
Recommendation Number
6
Recommendation Status
Closed
Significant Recommendation
Yes
Recommendation Questioned Costs
$0
Recommendation Funds for Better Use
$0