Medicare’s fee-for-service error rate in 2010 could have been reduced through the use of improved claims documentation, according to a new report
by the Department of Health and Human Service Office of the Inspector General (OIG).
Investigators said the error rate for fiscal year 2010 accounted for $34 billion in improper payments. A decrease of 0.3 percent would have lowered the improper payment total by approximately $956 million, according to the report.
Improper amount totals are the difference between the amount paid to a health care provider by Medicare
and the amount that should have been paid.
The OIG recommended requiring additional documentation on claims, but the Centers for Medicare & Medicaid services said it has already taken steps to address the concerns.