Cargando…

Estimating Payment Error for Medicare Acute Care Inpatient Services

CMS recently assumed responsibility for estimating the Medicare fee-for-service (FFS) error rate from the Office of the Inspector General (OIG). Here, the method used to calculate national, by State, and by error type, estimates for the inpatient acute care portion of this rate is presented. For fis...

Descripción completa

Detalles Bibliográficos
Autores principales: Krushat, W. Mark, Bhatia, Anita J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CENTERS for MEDICARE & MEDICAID SERVICES 2005
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194916/
https://www.ncbi.nlm.nih.gov/pubmed/17288067
_version_ 1782339214557315072
author Krushat, W. Mark
Bhatia, Anita J.
author_facet Krushat, W. Mark
Bhatia, Anita J.
author_sort Krushat, W. Mark
collection PubMed
description CMS recently assumed responsibility for estimating the Medicare fee-for-service (FFS) error rate from the Office of the Inspector General (OIG). Here, the method used to calculate national, by State, and by error type, estimates for the inpatient acute care portion of this rate is presented. For fiscal years (FYs) 1998 and 2000 discharges, national estimates for the net error rate were 2.6 and 2.8 percent, respectively, about $2 billion annually. Wide variation in State rates illustrates that estimates to the State level are essential for targeting and monitoring interventions to reduce improper Medicare inpatient acute care reimbursements.
format Online
Article
Text
id pubmed-4194916
institution National Center for Biotechnology Information
language English
publishDate 2005
publisher CENTERS for MEDICARE & MEDICAID SERVICES
record_format MEDLINE/PubMed
spelling pubmed-41949162014-11-04 Estimating Payment Error for Medicare Acute Care Inpatient Services Krushat, W. Mark Bhatia, Anita J. Health Care Financ Rev Research Article CMS recently assumed responsibility for estimating the Medicare fee-for-service (FFS) error rate from the Office of the Inspector General (OIG). Here, the method used to calculate national, by State, and by error type, estimates for the inpatient acute care portion of this rate is presented. For fiscal years (FYs) 1998 and 2000 discharges, national estimates for the net error rate were 2.6 and 2.8 percent, respectively, about $2 billion annually. Wide variation in State rates illustrates that estimates to the State level are essential for targeting and monitoring interventions to reduce improper Medicare inpatient acute care reimbursements. CENTERS for MEDICARE & MEDICAID SERVICES 2005 /pmc/articles/PMC4194916/ /pubmed/17288067 Text en
spellingShingle Research Article
Krushat, W. Mark
Bhatia, Anita J.
Estimating Payment Error for Medicare Acute Care Inpatient Services
title Estimating Payment Error for Medicare Acute Care Inpatient Services
title_full Estimating Payment Error for Medicare Acute Care Inpatient Services
title_fullStr Estimating Payment Error for Medicare Acute Care Inpatient Services
title_full_unstemmed Estimating Payment Error for Medicare Acute Care Inpatient Services
title_short Estimating Payment Error for Medicare Acute Care Inpatient Services
title_sort estimating payment error for medicare acute care inpatient services
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194916/
https://www.ncbi.nlm.nih.gov/pubmed/17288067
work_keys_str_mv AT krushatwmark estimatingpaymenterrorformedicareacutecareinpatientservices
AT bhatiaanitaj estimatingpaymenterrorformedicareacutecareinpatientservices