E/M Coding Alert - 2022 Issue 2
Compare Your State’s Error Rate Numbers to Others
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Article Overview
This article reviews CMS’ 2021 Medicare Fee-for-Service supplemental improper payment data and explains how state size, Medicare population, and sampling can affect reported improper payment rates and amounts. It is intended for readers tracking Medicare program integrity trends, including coding and compliance professionals, and it highlights comparative state and territory benchmarking in a CMS data release.
Why This Topic Matters
Understanding how CMS reports state-level improper payment data helps readers interpret benchmarking results correctly and place error-rate figures in context. The article is useful for anyone monitoring Medicare payment integrity trends across states and territories.
What You Will Learn
- How CMS presents state-level Medicare Fee-for-Service improper payment data
- Why state size and Medicare population can affect benchmarking comparisons
- How projected improper payment rates and amounts are compared across states and territories
- What the 2021 CMS supplemental improper payment data release covers
Who Should Read This
- Medical coders
- Coding auditors
- Compliance professionals
- Revenue cycle teams
- Healthcare administrators
- Medicare program integrity stakeholders
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