tci Medicare Compliance & Reimbursement - 2020 Issue Q4

Industry Notes: ‘Corrective Actions’ in Home Health, SNF Impact Rate Drop

If you’ve been waiting patiently for Medicare’s annual improper payment rate data, you’re in luck. Federal estimates highlight rate declines, attributing the positive numbers to corrective actions in home health and skilled nursing facilities (SNF). Now: On Nov. 16, the Centers for Medicare & Medicaid Services (CMS) announced the Fiscal Year (FY) 2020 estimated improper payment rates. As part of its Comprehensive Error Rate Testing (CERT) program, CMS publishes the CERT report, which breaks down the biggest errors among Medicare fee-for-service (FFS) claims and covers the causes of the improperly paid charges. Reminder: In light of...

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