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 ...

GL Communications Inc., a global provider of network testing solutions, announced enhanced Bit Error Rate Testing (BERT) ...

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 ...

New data from the U.S. Department of Agriculture shows Georgia had one of the highest error rates in the country when determining who is eligible for federal food ...