- Title
- Estimating Payment Error for Medicare Acute Care Inpatient Services
- First Author
- Krushat, W. M.
- Date of Pub
- 2005 Summer
- Pages
- 39-50
- Volume
- 26
- Issue
- 4
- Other Authors
- Bhatia, A. J.
- Abstract
- CMS recently assumed responsibility forestimating the Medicare fee-for-service (FFS)error rate from the Office of the InspectorGeneral (OIG). Here, the method used to cal-culate national, by State, and by error type,estimates for the inpatient acute care portionof this rate is presented. For fiscal years (FYs)1998 and 2000 discharges, national esti-mates for the net error rate were 2.6 and 2.8percent, respectively, about $2 billion annual-ly. Wide variation in State rates illustratesthat estimates to the State level are essentialfor targeting and monitoring interventions toreduce improper Medicare inpatient acutecare reimbursements.
- Abstract Continued
- N/A
- MeSH
- N/A
- NTIS Number
- N/A
