Medicare Administrative Contractors [MACs] did not consistently meet Medicare Cost Report Oversight Requirements

Medicare Administrative Contractors [MACs] did not consistently meet Medicare Cost Report Oversight Requirements 
HHS-OIG; Issued on 3/18/25, posted on 3/19/25 
... What OIG Found: MACs did not consistently meet Medicare cost report oversight requirements.

• For Federal fiscal years 2019–2021 (audit period), each of the 12 MAC jurisdictions failed to comply with the contract requirements for audit and reimbursement desk review and audit quality (AR-4) for at least 1 of the 3 years.
• CMS identified 287 total audit issues among all MAC jurisdictions during our period, including MACs not performing proper reviews; inadequate review of graduate medical education and indirect medical education reimbursement; improper review of allocation, grouping, or reclassification of charges to cost centers; improper calculation and reimbursement for nursing and allied health programs; and inadequate review of bad debts. [Continue reading ...]