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Published on FierceHealthcare (http://www.fiercehealthcare.com)

CMS reports lower error rate for 2008

By anne
Created Nov 18 2008 - 10:05am

Apparently, having Recovery Audit Contractors in the news frequently has pushed some providers to change their coding practices. CMS has reported that the 2008 error rate for fee-for-service payments has decreased to 3.6 percent. Last year, improper payments for fee-for-service amounted to 3.9 percent of the total payments.

The CMS estimates that it has saved as much as $400 million over the last fiscal year. The agency also reported for the first time the improper payment rate of Medicare Advantage; in 2006, it reported the improper payments amounted to 10.6 percent, or $6.8 billion. The CMS also made clear that most of these errors are from incorrectly coded or medically unnecessary claims, not actual fraud.

To learn more about the figures CMS released:
- read this Modern Healthcare piece [1] (reg. req.)

Related Articles:
RAC activities suspended because of protests [2]
Outpatient services limited by new Medicaid rule? [3]
By 2008, Medicare won't pay for hospital errors [4]
Medicare PQRI needs serious improvement, AMA says [5]


Source URL:
http://www.fiercehealthcare.com/story/cms-reports-lower-error-rate-2008/2008-11-18