tci Medicare Compliance & Reimbursement - 2004 Issue 1

Payment Errors: ARE PAYMENT ERRORS WORSE THAN CMS SAYS?

Senate fraud hawk chides CMS with tinkering with error figures.  Health care providers shouldn't jump to the conclusion that the fact the Medicare payment error rate is holding steady means the campaign against health care fraud and abuse will ease up anytime soon. The Centers for Medicare & Medicaid Services claims the error rate dropped to 5.8 percent in 2003, a touch lower than the rate for the previous two years. But don't tell that to Senate Finance Committee Chair Charles Grassley (R-IA). In his opinion, thanks to an adjustment CMS and its error-rate contractor AdvanceMed made...

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