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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
CENTERS for MEDICARE & MEDICAID SERVICES
2005
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194916/ https://www.ncbi.nlm.nih.gov/pubmed/17288067 |
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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 |