DecisionHealth, DecisionHealth - 2009 Issue 12 (December)

‘Heightened scrutiny' of claims yields Medicare FFS error rate of 7.8%

Government auditors have employed a new method to examine your claims with "heightened scrutiny." As a result, the error rate for Medicare fee-for-service (FFS) claims almost doubled from 2008 to 2009. CMS will release its Comprehensive Error Rate Test (CERT) in a few weeks, a CMS official tells Part B News. The agency says the 2009 FFS error rate will be 7.8%, which amounts to $24.1 billion in improper payments. This will be the first CERT since the 2008 mid-year report (PBN 5/25/09).

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