We recommend that the Centers for Medicare & Medicaid Services direct the appropriate Medicare contractors to determine the amount of improper payments for the claims that did not comply with Medicare requirements and, for those that are within the 4-year claim-reopening period, in accordance with CMS's policies and procedures, recover up to $888,169,038 for claims that were at risk of improper payment during our audit period.
Questioned Costs
$888169038
Funds for Better Use
$0
Recommendation Status
Open
Source UUID
23-A-09-085-23-A-09-085.02
Recommendation Number
23-A-09-085.02
Significant Recommendation
No