Railroad Retirement Board Medicare Contract Oversight Did Not Effectively Mitigate Chiropractic Services Risks

Submitting OIG:

Date Issued:

Thursday, June 4, 2015

Agency Reviewed / Investigated:

Submitting OIG-Specific Report Number:

15-07

Location(s):

Agency-Wide

Type of Report:

Audit

Questioned Costs:

$14,000,000

Funds for Better Use:

Number of Recommendations:

View Document:

Attachment	Size
Audit-Report-15-07-Railroad-Retirement-Board-Medicare-Contract-Oversight-Did-Not-Effectively.pdf	3.42 MB

Related Open Recommendations

Recommendation Number	Recommendation Status	Significant Recommendation
7	Open	No
The Office of Programs should ensure that Palmetto applies statistical analysis and stratified random sampling where practical to the high volume risk categories.
9	Open	No
The Office of Programs should work with Palmetto and the Centers for Medicare and Medicaid Services to conduct a thorough cost benefit analysis that will identify the resources needed to maximize timely and efficient recovery of improper payments for chiropractic services over the five year recovery period.
10	Open	No
The Office of Programs should work with Palmetto and the Centers for Medicare and Medicaid Services to recover the improper chiropractic service payments for the five year period, where determined to be cost effective based on an accurate cost benefit analysis.
11	Open	No
The Office of Programs should work with Palmetto and the Centers for Medicare and Medicaid Services to share information identified during the post-payment reviews as appropriate with the Recovery Audit Contractors and Zone Program Integrity Contractors where it can be used to identify improper or fraudulent non-Railroad Medicare chiropractic service payments.