CMS paid out $31.62 billion in improper payments in 201
Date Posted: Monday,
September 23, 2019
CMS paid out $31.62 billion in improper payments in 2018, 58% of which went to insufficient documentation that slipped under the radar. As directed by the OIG, CMS will heighten claims scrutiny.
In fact, the majority of Medicare FFS improper payments stem from documentation mistakes!
CMS can't determine if services were:
- actually provided
- billed at the appropriate level, or
- medically necessary