Complete Text of Report is available in PDF format (286 kb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.
EXECUTIVE SUMMARY:
The objective of this review was to determine whether Pinnacle Business Solutions, Inc.’s (Pinnacle) high-dollar Medicare payments to Louisiana Part B providers were appropriate. Twenty-nine of the thirty high-dollar payments that Pinnacle made to providers were appropriate. However, Pinnacle overpaid one provider $19,641 for the remaining payment. We recommended that Pinnacle recover the $19,641 overpayment and consider using the results of this audit in its provider education activities. Pinnacle agreed with the finding and recommendations.