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The GAO released a study, requested by Dr. Coburn, which examined the four different types of contractors to conduct post payment claims reviews of Medicare fee-for-service (FFS) claims to identify improper payments. The GAO found current contracting practices are inefficient, costly and not strategically aligned with CMS goals. In the report, GAO recommends CMS determine what can be done to enhance consistency and communicate its findings and time frame for taking action while also reducing differences in requirements for contractors.
Breakdown of GAO report here.
