Complete Text of Report is
available in PDF format (480 kb). Copies can also be obtained by contacting the
Office of Public Affairs at 202-619-1343. "Review of High-Dollar Payments for Medicare Part A Outpatient Claims Processed by TriSpan Health Services for the Period January 1, 2003, Through December 31, 2003,” (A-06-07-00100)
March 25, 2008
Complete Text of Report is
available in PDF format (480 kb). Copies can also be obtained by contacting the
Office of Public Affairs at 202-619-1343.
EXECUTIVE SUMMARY:
None of the four high-dollar payments
($50,000 or more) that TriSpan Health Services (TriSpan) made for outpatient
services in calendar year 2003 were appropriate. Our analysis indicated that
the resulting overpayment totaled $227,547, of which $104,521 was recovered
prior to the end of our audit. TriSpan is a
Medicare Part A fiscal intermediary serving more than 1,800 Medicare providers
in Mississippi, Louisiana, and Missouri.
We recommended that TriSpan inform us of the status
of the recovery of the $123,026 in identified overpayments and use the results
of this audit in its provider education activities. TriSpan agreed with our
recommendations.