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Audit (A-04-08-07002)

04-23-2009
Review of Palmetto GBA's Medicare Outpatient Payments for Oxaliplatin Drug Services in North Carolina

Executive Summary

Palmetto GBA (a Medicare fiscal intermediary for North Carolina) made overpayments totaling $1.9 million for oxaliplatin drug services provided during calendar years 2004 and 2005. However, the hospitals had identified and refunded $1.8 million. We recommended Palmetto GBA recover the $160,000 in remaining overpayments and establish new procedures. Palmetto GBA agreed with our recommendations.

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