MedCity News April 30, 2023
Marissa Plescia

Medicare could have saved $128 million if the Centers for Medicare and Medicaid Services had the correct controls in place to avoid duplicate payments with the Veterans Health Administration, an audit by the Office of Inspector General found.

Medicare paid providers for medical services that were authorized and also covered by the Veterans Affairs’ community care programs between January 2017 and December 2021. This led to duplicate payments of up to $128 million, an audit by the Office of Inspector General (OIG) found.

The audit, published Monday, examined $19.2 billion in Medicare Parts A and B payments for 36.2 million claims of people eligible for both Medicare and Veterans Health Administration (VHA) benefits.

“VHA is solely responsible for paying for...

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