IIT Centers for Medicare and Medicaid Services Discussion

Visit the Medicare CERT webpage at https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/CERT/CERT-Reports.html and click on the “Medicare Fee-for-Service 2015 Improper Payments Report” . Review the tables and figures in the report, including the following: Projected Improper Payments and Type of Error by Type of Service for each Claim Type to identify the top issue for the following claim types: Part B, DMEPOS, Part A excluding Inpatient Hospital PPS and Part A Inpatient Hospital PPS. For each claim type identify the top issue (for Part A Inpatient Hospital PPS identify the top clinical area). For each top issue identify the payment implication, the error rate, and the most significant error type.