Medicare’s improper payment scorecard
Medicare’s improper payment scorecard
Here are the sources and providers attributed to improper Medicare payments based on the Office of the Inspector General’s fiscal year 1999 audit of the program:
• Documentation errors — $5.5 billion total (includes $1.1 billion to physicians, $1.6 billion to disposable medical equipment (DME) suppliers, $1.7 billion to home health agencies, and $1.1 billion to "other").
• Lack of medical necessity — $4.4 billion total (includes $2 billion to inpatient hospitals, $0.2 billion to DME suppliers, $0.1 to billion home health, $0.1 billion to physicians, and $2 billion to "other").
• Coding errors — $2.1 billion total (includes $1.5 billion to physicians, $0.5 billion to inpatient hospitals, and $0.1 billion to "other").
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