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

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This industry note reviews CMS’s FY 2020 estimated improper payment rates for Medicare fee-for-service claims and explains the broad program factors associated with the year-over-year decline. It is relevant to Medicare compliance, revenue integrity, home health, and skilled nursing facility stakeholders who track CERT results, audit trends, and CMS oversight efforts.

Why This Topic Matters

CMS improper payment rate reports are a key source for understanding Medicare payment integrity trends and where review activity is concentrated. The article helps readers identify which service areas improved, what CMS attributed the changes to, and why the FY 2020 reporting context was affected by the COVID-19 public health period.

What You Will Learn

  • How CMS reported FY 2020 Medicare improper payment rates
  • What overall Part A and B claim trends were highlighted
  • Which service categories were associated with rate declines
  • How CMS framed the role of its payment integrity and oversight programs
  • How the COVID-19 period affected data collection and reporting context

Who Should Read This

  • Hospital and health system compliance teams
  • Home health agencies
  • Skilled nursing facilities
  • Medicare billing and coding professionals
  • Revenue integrity and audit staff
  • Healthcare consultants and attorneys

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