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Audit (A-06-08-00094)

02-09-2009
Review of High-Dollar Payments for Medicare Outpatient Claims Processed by TriSpan Health Services for the Period January 1 Through December 31, 2006

Executive Summary

Of the three payments of $50,000 or more that TriSpan made to one provider for outpatient services during calendar year 2006, two were appropriate. Regarding the remaining payment, TriSpan underpaid the provider $13,856.

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