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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Federal Reports
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Agency Reviewed / Investigated
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Social Security Administration
Old-Age, Survivors And Disability Insurance Benefits Withheld Pending A Windfall Offset Determination
The Office of Inspector General examined NASA's management of the land-based Network that provides tracking, telemetry, and command services to 40 NASA science missions operating in low Earth orbit, including its efforts to provide physical and information technology security.
A physical therapist in Texas claimed Medicare reimbursement for outpatient physical therapy services that did not meet Medicare reimbursement requirements in calendar years 2012 and 2013. Specifically, of the 100 beneficiary claim days in our random sample, the therapist properly claimed Medicare reimbursement on 84 beneficiary claim days but improperly claimed Medicare reimbursement on the remaining 16 beneficiary claim days.
Wisconsin Physicians Service's Payments to Providers for Hospital Outpatient Dental Services in Jurisdiction 5 and Jurisdiction 8 Generally Did Not Comply With Medicare Requirements
Wisconsin Physicians Service's (WPS) (located in Madison, Wisconsin) payments to providers in Jurisdiction 5 (Iowa, Kansas, Missouri, and Nebraska) and Jurisdiction 8 (Indiana and Michigan) for hospital outpatient dental services generally did not comply with Medicare requirements. Of the 100 dental services in our stratified random sample, 95 did not comply with Medicare requirements. Using our sample results, we estimated that WPS improperly paid providers approximately $1.3 million for dental services provided during the period January 1, 2013, through December 31, 2014.
