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EXECUTIVE SUMMARY:
During calendar years 2004�06, Cahaba Government Benefit Administrators Carrier No. 00510 (the contractor) overpaid providers in Alabama $121,000. Generally, the contractor made the overpayments because the providers incorrectly billed excessive units of service. In addition, the Medicare claims processing systems did not have sufficient edits in place during calendar years 2004�06 to detect and prevent payments for these types of erroneous claims. We recommend that the contractor recover the identified overpayments. The contractor agreed with our recommendations.