7 recent OIG audit findings

Becker's Healthcare October 10, 2022
Rylee Wilson

Here are seven recent findings from HHS’ oversight arm reported by or shared with Becker’s since Sept. 22.

1. Texas will refund $11.05 million in overpayments to the federal government, after an HHS Office of Inspector General audit published Oct. 7 found the state incorrectly claimed millions in federal uncompensated care funding for its Medicaid program.
2. HumanaChoice Medicare Advantage plan received $34.4 million in overpayments from CMS, according to an audit published Oct. 4. The audit examined diagnosis codes used to determine the risk status of Medicare Advantage enrollees. CMS pays plans based on these statuses. HumanaChoice disputed the findings of the audit.
3. Highmark Senior Health Plan received an estimated $6.2 million in overpayments from CMS for...

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