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Report File
Date Issued
Submitting OIG
Department of Health & Human Services OIG
Other Participating OIGs
Department of Health & Human Services OIG
Agencies Reviewed/Investigated
Department of Health & Human Services
Components
Centers for Medicare and Medicaid Services
Report Number
A-04-18-03085
Report Type
Audit
Number of Recommendations
9
Questioned Costs
$0
Funds for Better Use
$0

Open Recommendations

This report has 2 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
22-A-04-077.07 No $0 $0

We recommend that the Centers for Medicare & Medicaid Services revise 42 CFR section 405.980 and corresponding manual instructions related to the reopening period for claims to be consistent with statutory provisions contained in section 1870 of the Social Security Act, which allows Medicare contractors to determine whether overpayments were made and to begin to collect them for 5 years following the year payments were made.

22-A-04-077.08 No $0 $0

We recommend that the Centers for Medicare & Medicaid Services establish a mechanism to reopen claims when OIG starts an audit so that CMS can collect overpayments consistent with the 5-year timeframe contained in section 1870 of the Social Security Act.

Department of Health & Human Services OIG

United States