Fierce Healthcare November 20, 2023
Traditional Medicare paid out an estimated $31.2 billion in improper payments in fiscal year 2023, according to new data from the federal government.
The Centers for Medicare & Medicaid Services (CMS) released its annual look at improper payments and found that the overall rate in Medicare was 7.38%, which sits below the 10% level mandated in statute. CMS said it’s the seventh straight year that the program has achieved this benchmark.
The estimated improper payment rate in fiscal 2022 was 7.46%, so the difference was not statistically significant, CMS said.
The agency noted that “improper payments” are not exclusively fraud and represent potential overpayments, underpayments or payouts that were made despite a lack of information proving they were appropriate. CMS...
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