Medicare Paid Claims That Were Not in Accordance With the Over-the-Counter COVID-19 Test Kits Demonstration Quantity Limitation

We recommend that, for items or services for which the Medicare program establishes a quantity limit, CMS use the results of this audit to research and determine the best method(s) (e.g., nationwide system edits, information-sharing between providers, and other mechanisms) to detect and prevent improper payments to providers.