tci Medicare Compliance & Reimbursement - 2008 Issue 37

CERT: Medicare Focusing On Payment Errors

Medicare continues to pay providers more accurately, according to a new report. The improper payment rate for Medicare fee-for-service providers dropped from 3.9 percent last year to 3.6 percent in 2008, the Centers for Medicare & Medicaid Services says in the latest comprehensive error rate testing (CERT) report. That translates to $10.4 billion in incorrect payments to FFS providers for the year, CMS says in a release. "For Medicare FFS, most improper payments are due to claims for services that were medically unnecessary or incorrectly coded," CMS says. For the first time, CMS calculated error...

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