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2023 Medicare Improper Payments Data

2023 Medicare Improper Payments Data December 8, 2023
The 2023 Medicare Fee-For-Service Improper Payments Report was just released.  The report identified an estimated $31.23 billion in improper payments with a payment error rate of 7.38%. The report outlines findings related to services most frequently billed and paid in error and outlines the reasons for the errors such as medical necessity, incorrect coding, and insufficient documentation.

Some notable findings include: 
We recommend reviewing the entire report.  Services identified as having high error rates should be considered for inclusion in your 2024 compliance audit plan. 

The 2023 Improper Payments Report is located here:  www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/comprehensive-error-rate-testing-cert/cert-reports
 

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