tci Medicare Compliance & Reimbursement - 2006 Issue 8

Fraud & Abuse: Improper Medicare Payment Reductions Help Surpass Bottom-Line Goal

Incentive-based contracting reform may help to eliminate coding errors and incorrect payments.Buckling down on claims documentation requirements has helped HHS reduce improper Medicare payments by $9.6 billion--44 percent--according to a Feb. 2 improper payments report from the Office of Management and Budget. The federal government exceeded its $5 billion goal by eliminating $7.8 billion overall in improper payments during fiscal year 2005. This reduction reflects a 17 percent drop in improper payments government-wide, the OMB says."We place a high priority at HHS on detecting and preventing improper or fraudulent payments, and we have worked aggressively...

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