Long-Term Care

CMS released the Medicare fee for service improper payments report for 2013

MDS 3.0 Insider, December 12, 2014

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The estimated 2013 Medicare FFS improper payment rate – the percentage of Medicare dollars paid incorrectly - was 10.1 percent. This means that Medicare paid an estimated $36.0 billion incorrectly between July 2011 and June 2012. For 2013, CMS adjusted the improper payment rate by 0.6 percent ($2.2 billion) from 10.7 percent to 10.1 percent to account for the effect of rebilling inpatient hospital claims denied under Medicare Part A.
 
The SNF inpatient improper payment rate increased from 4.8% during the 2012 reporting period to 7.7% during the 2013 reporting period. The projected improper payment amount for SNF services during the 2013 report period was $2.6 billion.

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