Other: These claims do not fit into any of the other categories (i.e. service not rendered, duplicate payment error, not covered or unallowable service). Stricter Review Standards Used ...

A recent report from the Office of Inspector General (pdf) found that if overturned payment denials from CMS’ Comprehensive Error Rate Testing program were included ...

Using CMS’s comprehensive error rate testing system, which measures the accuracy of Medicare fee-for-service payments, a Medicare contractor has reviewed Medicare ...

Healthcare is complex. Fragmentation, mounting costs, and constantly evolving regulations are a challenge across health plans, patients, partners, and providers. With these complexities and the volume ...

With skilled nursing improper payment rates more than double the overall rate for Medicare, nursing homes must remain vigilant for lapses in documentation and validation failures that could lead to ...

CMS is seeing progress toward its goal of cutting the Medicare fee-for-service error rate in half by 2012, according to a CMS official’s testimony before Congress ...

Incode First to Achieve iBeta’s Highest Level of Independent Identity Security Testing on Both iOS and Android With 0% Error Rate Records 0% APCER and 0% BPCER ...