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Fiscal Year (FY) 2019 Medicare Fee-For-Service Improper Payment Rate is Lowest Since 2010 while data points to concerns with Medicaid eligibility

The Centers for Medicare & Medicaid Services (CMS) announced today that the Medicare Fee-For-Service (FFS) improper payment rate has fallen yet again, and is at its lowest level since FY 2010.
Press Release

2019 Estimated Improper Payment Rates for Centers for Medicare & Medicaid Services (CMS) Programs

The Improper Payments Information Act of 2002 (IPIA), as amended by the Improper Payments Elimination and Recovery Act of 2010 and the Improper Payments Elimination and Recovery Improvement Act of 2012, requires CMS to periodically review programs it administers, identify programs that may be susceptible to significant improper payments, estimate the amount of improper payments, and report on the improper payment estimates and the Agency’s actions to reduce improper payments in the Department of Health & Human Services (HHS) annual Agency Financial Report (AFR)
Fact Sheet

Historic release of data gives consumers unprecedented transparency on the medical services physicians provide and how much they are paid

Today, as part of the Obama administration’s work to make our health care system more transparent, affordable, and accountable, Health and Human Services (HHS) Secretary Kathleen Sebelius announced the release of new, privacy-protected data on services and procedures provided to Medicare beneficiaries by physicians and other health care professionals.
Press Release

NEW TECHNOLOGY TO HELP FIGHT MEDICARE FRAUD

On the heels of the White House launch of the Campaign to Cut Waste - an administration wide initiative to crack down on waste, fraud and abuse, the Centers for Medicare & Medicaid Services (CMS) announced today that starting July 1, it will begin using innovative predictive modeling technology to fight Medicare fraud.
Press Release

HHS EMPLOYS NEW TOUGHER STANDARDS IN CALCULATION OF IMPROPER MEDICARE PAYMENT RATES FOR 2009

As part of the Obama Administration's goal of reducing waste, fraud and abuse in Medicare, the Department of Health and Human Services and the Centers for Medicare & Medicaid Services (CMS) significantly revised and improved its calculations of Medicare fee-for-service (FFS) error rates in 2009, reflecting a more complete accounting of Medicare's improper payments than in past years.
Press Release

CMS ANNOUNCES POLICY AND PAYMENT UPDATES FOR MEDICARE HOME HEALTH

The Centers for Medicare & Medicaid Services (CMS) today announces a 2.0 percent market basket update to Medicare’s calendar year (CY) 2010 home health prospective payment system (HH PPS) rates and modifications to the home health outlier policy.
Press Release

ROBUST MEDICARE HEALTH AND DRUG PLAN COVERAGE CONTINUES IN 2010 BENEFICIARY PROTECTIONS STRENGTHENED

Medicare beneficiaries enrolled in Medicare health and prescription drug plans will continue to have a wide range of plan options in 2010, and those beneficiaries who decide to change plans should find choosing a new plan simpler than in previous years.
Press Release

CMS PROPOSES PAYMENT CHANGES FOR HOME HEALTH SERVICES TO PROTECT BENEFICIARIES AND MEDICARE

The Centers for Medicare & Medicaid Services (CMS) today announced a proposed 2.2 percent home health market basket update to the home health prospective payment system (HH PPS) rates for calendar year (CY) 2010.
Press Release

CMS ANNOUNCES MEDICARE IMPROPER PAYMENTS RATE FOR 2003

The Centers for Medicare & Medicaid Services (CMS) today announced the national Medicare improper payments rate for 2003, based on a new and expanded program for measuring the rate and helping prevent future errors.
Press Release