Submitting OIG:
Report Description:
Wisconsin Physicians Service's (WPS) (located in Madison, Wisconsin) payments to providers in Jurisdiction 5 (Iowa, Kansas, Missouri, and Nebraska) and Jurisdiction 8 (Indiana and Michigan) 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 WPS improperly paid providers approximately $1.3 million for dental services provided during the period January 1, 2013, through December 31, 2014.
Date Issued:
Thursday, March 17, 2016
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-06-15-00034
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
WI
United StatesIA
United StatesKS
United StatesMO
United StatesNE
United StatesIN
United StatesMI
United StatesType of Report:
Audit
Questioned Costs:
$1,298,794
Funds for Better Use:
$0
Number of Recommendations:
3
View Document:
Attachment | Size |
---|---|
61500034.pdf | 544.45 KB |
Additional Details Link: