tci Medicare Compliance & Reimbursement - 2006 Issue 39

INDUSTRY NOTES: CMS Looks To Continue Decreases In Improper Medicare Payments With Tough Oversight

Plus:  CPT 2007 has new codes for Moh's surgery.Medicare's detailed reviews of fee-for-service (FFS) claims aren't likely to cease.The Centers for Medicare & Medicaid Services (CMS) continues to triumph from its intense scrutiny of Medicare FFS claims and has reduced improper payments by $1.3 billion--just in the past year. In 2005, Medicare's error rate for paying improper FFS claims was 5.2 percent, but that rate decreased to 4.4 percent in 2006, according to a recent CMS announcement.CMS pays more than one billion FFS claims each year and has reduced the amount of improper...

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