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Audit (A-04-08-00052)

12-04-2008
Review of High-Dollar Outpatient Claims Processed by Cahaba Government Benefit Administrators Fiscal Intermediary No. 00011 for the Period January 1, 2004, Through December 31, 2006

Executive Summary

During calendar years 2004-2006, Cahaba Government Benefit Administrators Fiscal Intermediary No. 00011 (Cahaba GBA) overpaid hospitals in Iowa $121,000. Contrary to Federal guidance, hospitals reported excessive units of service and charges that resulted in inappropriate payments.

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