CMS announces results of expanded analysis of payment errors
Case Management Weekly, December 15, 2004
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The Centers for Medicare & Medicaid recently announced results from its new error measurement process. After conducting the most extensive review of Medicare claims the agency has ever done, CMS found that the error rate for fiscal year 2004 was 9.3%. More than 4% of payments had errors due to insufficient documentation and almost 3% were due to non-responses to requests for medical records. Medicare also found that providers were paid $900 million less because of insurance errors-but that the agency also paid $20.8 billion in overpayments.
Source: Centers for Medicare & Medicaid and CNN.com
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