A recent audit by the U.S. Department of Health and Human Services Office of Inspector General found that National Government Services accurately calculated hospice cap amounts but didn’t collect all cap overpayments.
According to the OIG report, NGS did not attempt to collect $2.1 million in net lookback overpayments because of its internal policy of not pursuing lookback cap calculation amounts that were less than a set threshold. In its response to the OIG regarding its findings, NGS stated that its internal policy of not pursuing certain lookback cap calculation amounts conforms to CMS requirements.