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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-04-21-08089
Report Type
Audit
Number of Recommendations
1
Questioned Costs
$2,308,312
Funds for Better Use
$0
External Entity
Georgia Department of Community Health

Open Recommendations

This report has 3 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
23-A-04-054.01 No $644,802 $0

We recommend that the Georgia Department of Community Health refund to the Federal Government $644,802 (Federal share) for single-source physicianadministered drug claims that were ineligible for Federal reimbursement.

23-A-04-054.02 No $9,325 $0

We recommend that the Georgia Department of Community Health refund to the Federal Government $9,325 (Federal share) for top-20 multiple-source physician-administered drug claims that were ineligible for Federal reimbursement.

23-A-04-054.03 No $52,837 $0

We recommend that the Georgia Department of Community Health work with CMS to determine and refund the unallowable portion of $52,837 (Federal share) for other multiple-source physician-administered drug claims that may have been ineligible for Federal reimbursement and consider invoicing drug manufacturers for rebates for those drug claims that CMS determines are allowable;

Department of Health & Human Services OIG

United States