tci Medicare Compliance & Reimbursement - 2012 Issue 1

Medicare Errors: Providers Underbilled More Than $1 Billion to Medicare in 2010

CERT results reveal $34.3 billion in improper Medicare payments -- $1.1 billion of which was underpaid. If your practice's collections rate was off by 10.5 percent, you'd be in big trouble, right? Well, that's the 2010 Medicare Fee-for-Service improper payment rate, and your MAC may come looking for money you still owe to them. CMS's new Comprehensive Error Rate Testing (CERT) results, which were released in November, show that practices actually made fewer errors in 2010 than in the previous year. Most of the errors were discovered as overpayments -- meaning that CMS identified $33.2...

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