tci Medicare Compliance & Reimbursement - 2020 Issue Q4

Coding Errors: HHS Report Outlines Biggest Areas of Concern

Tip: Concise documentation will be critical in 2021. Medicare hasn’t released all the annual improper payment rate details yet — but it’s clear documentation woes continue to plague providers. The Centers for Medicare & Medicaid Services (CMS) recently announced the fiscal year (FY) 2020 estimated improper payment rate statistics (see Medicare Compliance & Reimbursement, Vol. 46, No. 23). CMS estimates there were $25.74 billion in improper payments, which is a decrease from FY 2019. Last year, the improper payments reached $28.91 billion. For Medicare Part A and B claims, the agency anticipates a 6.27...

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