Limits...
Estimating payment error for Medicare acute care inpatient services.

Krushat WM, Bhatia AJ - Health Care Financ Rev (2005)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Centers for Medicare & Medicaid Services, Baltimore, MD 21244, USA.

ABSTRACT
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.

Show MeSH
Data and Information Flow for Estimating Inpatient Payment Error
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4194916&req=5

f1-hcfr-26-4-039: Data and Information Flow for Estimating Inpatient Payment Error

Mentions: Error amounts found in the quality assurance subsample were not included in the calculation of the error rate numerator. Figure 1 illustrates the decision flow chart for a sampled discharge through the surveillance system.


Estimating payment error for Medicare acute care inpatient services.

Krushat WM, Bhatia AJ - Health Care Financ Rev (2005)

Data and Information Flow for Estimating Inpatient Payment Error
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4194916&req=5

f1-hcfr-26-4-039: Data and Information Flow for Estimating Inpatient Payment Error
Mentions: Error amounts found in the quality assurance subsample were not included in the calculation of the error rate numerator. Figure 1 illustrates the decision flow chart for a sampled discharge through the surveillance system.

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Centers for Medicare & Medicaid Services, Baltimore, MD 21244, USA.

ABSTRACT
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.

Show MeSH