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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Providers incorrectly billed diagnosis code 260 for Kwashiorkor for inpatients who did not have the disease. We reviewed the medical records for 2,145 inpatient claims at 25 providers and found that all but 1 claim incorrectly included the diagnosis code for Kwashiorkor, resulting in overpayments in excess of $6 million.
Two Indian Health Service Hospitals Had System Security and Physical Controls for Prescription Drug and Opioid Dispensing but Could Still Improve Controls
We conducted this review to assess the Indian Health Service's (IHS) physical and information technology controls over prescription drugs such as opioids and to identify measures that could prevent drug diversions.
Our objective was to determine whether travel and representation expense reimbursements requested by U.S. Postal Service officers during fiscal year 2017 were properly supported and compliant with Postal Service policies and procedures.
