Improper FFS Payments: Coding One Problem Says CMS

The Centers for Medicare & Medicaid Services (CMS) announced last week, in an exhaustive report by two programs monitoring the Medicare Fee-for-Service (FFS) program for errors, that the national error rate is 3.7 percent of the dollars paid, or $10.2 billion. The projected overpayments were $9.3 billion and the underpayments were $0.9 billion.

A product of The Comprehensive Error Rate Testing (CERT) and Hospital Payment Monitoring Programs(HPMP), the study combined error rates calculated by the two programs. According to the study, the largest cause of errors was incorrect coding. Read more in the full 66-page report on the CMS Web site.


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