tci Medicare Compliance & Reimbursement - 2021 Issue Q4

Figure Out Where Your State Ranks in the Improper Payment Stats

Usual suspects impact the overall numbers. Error rate benchmarking is tricky. Larger states naturally add more to the overall improper payment amounts because of their Medicare population while smaller states sometimes lack resources and register higher error rates on the claims the feds sample. Refresher: In CMS’ latest CERT breakdown, the “2021 Medicare Fee-for-Service Supplemental Improper Payment Data,” which went live on December 7, the agency offers insight into each state’s error rate data. The top three states with the biggest overall impact to the improper payment rate in 2021 are the same as those in...

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