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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 direct the MACs to recover the $575,990 from the health care practitioners for 7,857 claims for which health care practitioners had reassigned their billing rights to the CAHs and $197,909 in cost-sharing overcharges to Medicare beneficiaries that are within the 4-year reopening period.
Recommendation Number
22-A-06-098.02
Recommendation Status
Open
Significant Recommendation
No
Recommendation Questioned Costs
$773,899
Associated Report Details
Submitting OIG
Department of Health & Human Services OIG
Linked Report
Medicare Part B Overpaid and Beneficiaries Incurred Cost-Share Overcharges of Over $1 Million for the Same Professional Services