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National Government Services, Inc., Paid Unallowable Lower Limb Prosthetics Claims (A-07-13-05039) 10-25-2013

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Government Services Paid Unallowable Lower Limb Prosthetics Claims" class="twitter-share-button" data-count="horizontal" data-via="oigathhs" href="https://web.archive.org/web/20140706201106/https://twitter.com/share">Tweet</a><script type="text/javascript" src="//web.archive.org/web/20140706201106js_/http://platform.twitter.com/widgets.js"></script> </div> </div> <!-- Administration on Aging Administration for Children and Families Centers for Disease Control and Prevention Centers for Medicare and Medicaid Services Food and Drug Administration General Departmental Health Resources and Services Administration Indian Health Service National Institutes of Health Federal/State Joint Audit Initiatives Substance Abuse and Mental Health Services Administration --> <h1>Audit (A-07-13-05039)</h1> <h2>10-25-2013<br/> National Government Services, Inc., Paid Unallowable Lower Limb Prosthetics Claims</h2> <h2 class="line">Complete Report</h2> <p class="download">Download the <a href="/web/20140706201106/http://oig.hhs.gov/oas/reports/region7/71305039.pdf" target="_blank">complete report</a> <!-- Footer --> <p class="pdf"> <a class="exit" href="https://web.archive.org/web/20140706201106/http://get.adobe.com/reader/" target="_blank">Adobe&#174; Acrobat&#174;</a> is required to read <acronym title="Portable Document Format">PDF</acronym> files. </p> </p> <h2 class="line">Summary</h2> <p>National Government Services, Inc. (NGS) (operating in Indiana), paid $1.5 million for 770 lines of service for lower limb prostheses from January 1, 2009, through September 30, 2012, that did not meet local coverage determination (LCD) requirements. </p> <p>We recommended that NGS (1) recover $1.5 million in identified overpayments for lines of service for lower limb prostheses that did not meet LCD requirements and (2) continue to monitor the edits it developed and updated to ensure that they are functioning correctly. NGS stated that it had recouped or was in the process of recouping all of the overpayments that we had identified. NGS also described corrective actions that it had taken.</p> <p>Copies can also be obtained by contacting the Office of Public Affairs at <a href="https://web.archive.org/web/20140706201106/mailto:Public.Affairs@oig.hhs.gov">Public.Affairs@oig.hhs.gov</a>. </p> </div><!-- leftContentInterior --> </div> <!-- leftSideInterior ends --> <div id="rightSide"> <div id="imLookingForHeading"><span>I'm Looking For</span></div> <div id="imLookingFor"> <p>Let's start by choosing a topic</p> <div id="chooseTopic"> <a href="#">Select One </a> </div> </div><!-- imLookingFro ends --> <div id="topicSelection"> <a href="#" id="closeButton"><span>X</span></a> <ul class="leftSide"> <li> <a href="/web/20140706201106/http://oig.hhs.gov/reports-and-publications/compendium/"> <h3>Compendium</h3> <p>Priority recommendations summarized.</p> </a> </li> <li> <a href="/web/20140706201106/http://oig.hhs.gov/reports-and-publications/workplan/index.asp#current"> <h3>FY 2014 Work Plan</h3> <p>OIG projects planned for 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