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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Federal Reports
Report Date
Agency Reviewed / Investigated
Report Title
Type
Location
Department of Labor
Special Report Relating to the Federal Employees' Compensation Act Special Benefit Fund - September 30, 2015
Wisconsin Physicians Service Insurance Corporation claimed $4.8 million in unallowable administrative costs on its Medicare Part B final administrative cost proposals for fiscal years 2009, 2010, and 2011.
Wisconsin Physicians Service Insurance Corporation claimed $4.4 million in unallowable administrative costs on its Medicare Part B final administrative cost proposals for fiscal years 2009, 2010, and 2011.
We found that the expenditures that the Vermont Agency of Human Services (State agency) reported in the Indian Health Service (IHS) facilities' column of the Form CMS-64 were for primary care services not provided in an IHS facility. However, like services provided in IHS facilities, these primary care services had a Federal medical assistance percentage reimbursement rate of 100 percent. The State agency had obtained CMS approval to report these expenditures in the IHS facilities column. Because Federal reimbursement was correct, this report does not include any recommendations.