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Audit (A-06-08-00042)

01-13-2009
Review of High-Dollar Payments for Medicare Outpatient Services Processed by Pinnacle Business Solutions, Inc., During Calendar Year 2005

Executive Summary

None of the four payments of $50,000 or more that Pinnacle made to providers for outpatient services during calendar year 2005 were appropriate. Three of the claims were adjusted prior to the start of our audit; for the remaining claim, Pinnacle overpaid the provider $46,000.

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