Direct the Health Information Management program office, in coordination with the Office of Community Care and facility chiefs of staff, to ensure facilities are conducting postpayment audits of billed evaluation and management services to verify non VA providers are properly supporting their claims, including a focus on providers who frequently bill high level evaluation and management services and/or submit charges during periods when global surgery packages are in effect, and develop processes for corrective actions based on audit results.
Questioned Costs
$0
Funds for Better Use
$0
Recommendation Status
Open
Source UUID
21-01807-251-01
Recommendation Number
01
Significant Recommendation
Yes