tci Part B Insider - 2018 Issue 2

Take a Look at The Top Medicare Claims Problems

CMS continues to see big claims issues for home health and lab services. Part B providers continue to improve on claims issues, and over the last three years saw a decrease in their overall improper payment rate percentages. But with billions in improper payments last year, there's still a long way to go. Review: With about 90.5 percent of payments properly paid in 2017, CMS's new Comprehensive Error Rate Testing (CERT) results underline that some claims compliance progress was made last year. However the outcome held few surprises with DMEPOS sliding into first place with a 44.6...

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