Open Recommendations
Recommendation Number | Significant Recommendation | Recommended Questioned Costs | Recommended Funds for Better Use | Additional Details | |
---|---|---|---|---|---|
1 | No | $0 | $1,083,534 | ||
We recommend that the Contracting Officer disallow $1,083,534 in FEHBP overcharges due to PNS errors. To date, $228,641 has been recovered and $854,893 remains due to the FEHBP. | |||||
3 | No | $0 | $0 | ||
We recommend that the Contracting Officer direct the Association to instruct the local BCBS plans to review and update as needed, or institute policies and procedures, to identify all affected claims caused by an update to a provider file and to initiate any recoveries or adjustments warranted by the change in PNS. |