The Centers for Medicare and Medicaid Services made $2.4 million in Medicare Parts A and B payments after beneficiaries died, according to an audit from the Department of Health and Human Services Office of Inspector General.
The agency is required to implement policies to prevent beneficiary payments from being made to deceased individuals and should ensure that improper payments are recouped if they are made.
“Our objective was to determine whether CMS’s policies and procedures ensured that capitation payments were not made to MA [Medicare Advantage] organizations for Medicare Parts A and B services on behalf of deceased beneficiaries after the individuals’ dates of death,” the auditors said.
While auditors found that the agency generally had procedures in place to ensure payments were not made to dead people, they found that the agency did not recoup all of the improper payments. Auditors found that as of March 2017 the agency did not recoup $2,420,761 made to 978 dead beneficiaries.
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