Submitting OIG:
Report Description:
The Centers for Medicare & Medicaid Services (CMS) had policies and procedures in place that were generally effective in ensuring that capitation payments to Medicare Advantage organizations' prescription drug plans and stand-alone prescription drug plans (collectively referred to as "sponsors") for Medicare Part D coverage were not made on behalf of deceased beneficiaries after the individuals' dates of death. These policies and procedures generally ensured that CMS did not make improper capitation payments on behalf of deceased beneficiaries when its data systems indicated at the time of a monthly capitation payment that the beneficiaries in question had died.
Date Issued:
Thursday, April 12, 2018
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-07-16-05088
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
Agency-Wide
Type of Report:
Audit
Questioned Costs:
$1,099,603
Number of Recommendations:
2
View Document:
Attachment | Size |
---|---|
71605088.pdf | 756.79 KB |
Additional Details Link: