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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-05-18-00020
Report Type
Audit
Location

CA,
United States

Number of Recommendations
2
Questioned Costs
$5,372,998
Funds for Better Use
$0
External Entity
Inter Valley Health Plan

Open Recommendations

This report has 2 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
22-A-05-108.01 No $5,372,998 $0

We recommend that Inter Valley Health Plan, Inc. refund to the Federal Government the $5,372,998 of estimated net overpayments.

22-A-05-108.02 No $0 $0

We recommend that Inter Valley Health Plan, Inc. continue to enhance its policies and procedures to prevent, detect, and correct noncompliance with Federal requirements for diagnosis codes that are used to calculate risk-adjusted payments.

Department of Health & Human Services OIG

United States