The reason is the limited precission that can be stored in a floating point variable.
For a complete explanation you shoud read the paper What Every Computer Scientist Should Know About Floating-Point Arithmetic, by David Goldberg, published in the March, 1991 issue of Computing Surveys.
In VBA the default floating point type is Double
which is a IEEE 64-bit (8-byte) floating-point number.
There is another type available: Decimal
which is a 96-bit (12-byte) signed integers scaled by a variable power of 10
Put simply, this provides floating point numbers to 28 digit precission.
To use in your example:
a = CDec(61048.4599674847)
b = CDec(154553063.208822)
c = a + b
debug.print c
Result:
154614111.6687894847