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Medicare Chief, Watchdog at Odds Over ‘Error-Prone’ Providers

Jan. 19, 2021, 10:52 PM

A government watchdog agency wants the Trump administration to take action against 100 “error-prone” care providers who were found to receive high rates of improper Medicare payments.

A report released Tuesday by the HHS Office of Inspector General called on the Centers for Medicare & Medicaid Services to “take specific action against these providers “such as prior authorization, prepayment reviews, and post-payment reviews.” The OIG also asks the CMS to “apply additional program integrity tools” to providers “that have an increased risk of receiving improper payments” based on CMS audit data.

The OIG found 100 providers had an improper payment...

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