Submitting OIG:
Report Description:
The payments that First Coast Service Options (FCSO) made to providers in Jurisdiction N (Florida, Puerto Rico, and the U.S. Virgin Islands) for hospital outpatient dental services generally did not comply with Medicare requirements. Of the 100 dental services in our stratified random sample, 95 did not comply with Medicare requirements. Using our sample results, we estimated that FCSO improperly paid providers in Jurisdiction N at least $1 million from January 1, 2012, through August 31, 2014.
Date Issued:
Tuesday, March 29, 2016
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-06-15-00013
Component, if applicable:
Centers for Medicare & Medicaid Services
External entity, if applicable:
First Coast Service Options
Location(s):
FL
United StatesPR
United StatesVI
United StatesType of Report:
Audit
Questioned Costs:
$1,065,486
Funds for Better Use:
$0
Number of Recommendations:
4
View Document:
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Additional Details Link: