Error Rates and Improper Payments by Provider Type: FIs and MACs

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Provider Types Billing to FIs Paid Claims Error Rate
Error Rate Projected Improper Payment Amount Standard Error 95% Confidence Interval
Sort Ascending / Sort Descending Sort Ascending / Sort Descending Sort Ascending / Sort Descending Sort Ascending / Sort Descending Sort Ascending / Sort Descending
OPPS, Laboratory (an FI), Ambulatory (Billing an FI) 1.7% 421,368,707 0.2% 1.4% - 2.0%
SNF 1.6% 363,049,661 0.3% 1.0% - 2.2%
HHA 1.4% 203,642,462 0.4% 0.7% - 2.1%
Other FI Service Types 1.9% 102,605,352 0.5% 1.0% - 2.9%
Hospice 1.0% 90,422,892 0.3% 0.4% - 1.6%
ESRD 1.2% 82,764,933 0.4% 0.3% - 2.1%
Non-PPS Hospital In-patient 0.7% 35,359,132 0.2% 0.3% - 1.1%
FQHC 1.5% 6,550,678 0.5% 0.5% - 2.5%
RHCs 0.6% 3,310,678 0.2% 0.3% - 0.9%
Free Standing Ambulatory Surgery 0.2% 788,627 0.1% ( 0.1%) - 0.4%
Overall 1.5% 1,309,863,123 0.1% 1.2% - 1.7%