All 100 free-world provider claims tested totaling $221,195 were allowable and supported. However, UTMB did not consistently apply a 2 percent payment adjustment (called a “sequestration rate”)
as required by the federal Budget Control Act of 2011 to all claims. UTMB asserted that it plans to recoup $167,000 for payments processed from September 1, 2017, through April 30, 2020.
UTMB charged the Program $37.4 million for indirect costs based on 2.75 percent of the total Program reimbursements from September 1, 2017, through February 29, 2020, however,
it also continued to charge the Program for indirect costs through certain individual billings.
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