The Council for Medicare Integrity (CMI) released Wednesday, January 18th, an analysis of improper payments made within the Medicare Fee-For-Service (FFS) program. According to CMI, “The analysis looks at the amount of Medicare over-payments collected from providers by Recovery Audit Contractors in each state in 2015 and crosses that data with the number of Medicare beneficiaries in each state in 2015, to arrive at an amount of taxpayer dollars wasted per beneficiary in each state. Medicare over-payments are generally made when a provider misbills the program for the services they provided to a patient, most often billing to a code that pays out at a higher rate than what’s approved.”
The Council for Medicare Integrity is a non-profit organization. The Council’s mission is to educate policymakers and other stakeholders regarding the importance of healthcare integrity programs that help Medicare identify and correct improper payments. To read more about the release click here.