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Audit (A-06-08-00065)

07-16-09
Review of High-Dollar Payments for Medicare Outpatient Claims Processed by TrailBlazer Health Enterprises for the Period January 1 through December 31, 2005

Executive Summary

Of the 25 payments of $50,000 or more that TrailBlazer Health Enterprises made to providers for outpatient services during calendar year 2005, 9 were appropriate. TrailBlazer overpaid providers for 16 claims, resulting in overpayments totaling $848,640.

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