Billing Beat

Improper Payments to Providers for Incarcerated Beneficiaries

December 19, 2012

The Office of Inspector General (OIG) of the Department of Health and Human Services advised in the 2013 OIG Work Plan that they would be reviewing Medicare payments for Incarcerated Beneficiaries. Audits conducted by the OIG have resulted in overpayments to providers across the country, including those serviced by National Government Services. As a result, CMS has charged National Government Services to begin the process of recouping identified overpayments. The first series of overpayment adjustments have generated. Overpayment letters will begin to be mailed on Monday, December 10.

National Government Services

Administers the Medicare Part A contract for the states of Connecticut, Illinois, Indiana,  Michigan, New York, Ohio, Virginia, West Virginia, and Wisconsin. They also administer the Medicare Part B contract for the states of Connecticut, Indiana,  and New York.

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