FL
United States
Open Recommendations
Recommendation Number | Significant Recommendation | Recommended Questioned Costs | Recommended Funds for Better Use | Additional Details | |
---|---|---|---|---|---|
1 | No | $0 | $0 | ||
We recommend that the Contracting Officer require the Association to update its claims processing system with edits to ensure that claim lines with telehealth related place of service and procedure code modifiers suspend prior to payment for review. | |||||
2 | No | $0 | $66,962 | ||
We recommend that the Contracting Officer require the Association to reprocess the identified claims with its updated claim edits to determine if they were properly paid and if not, to return any identified overpayments to the FEHBP. |