Submitting OIG:
Report Description:
Medicare contractor payments made to providers in Jurisdiction H (Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas) for hospital outpatient dental services generally did not comply with Medicare requirements. Of the 100 dental services in our stratified random sample, 91 did not comply with Medicare requirements. Using our sample results, we estimated that Medicare contractors improperly paid providers in Jurisdiction H at least $1.7 million from January 1, 2012, through August 31, 2014.
Date Issued:
Thursday, April 7, 2016
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-06-15-00014
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
AR
United StatesCO
United StatesLA
United StatesMS
United StatesNM
United StatesOK
United StatesTX
United StatesType of Report:
Audit
Questioned Costs:
$1,767,106
Funds for Better Use:
$0
Number of Recommendations:
4
View Document:
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Additional Details Link: