| Service Types Billed to FIs (Type of Bill) |
Paid Claims Error Rate |
| Error Rate |
Number of Claims (Sample) |
Projected Improper Payments |
Standard Error |
95% Confidence Interval |
/
|
/
|
/
|
/
|
/
|
/
|
| OPPS, Laboratory (an FI), Ambulatory (Billing an FI) |
4.0% |
44,128 |
$751,977,856 |
1.3% |
1.4% - 6.6% |
| SNF |
2.6% |
2,762 |
$413,051,911 |
0.4% |
1.8% - 3.4% |
| HHA |
1.3% |
1,920 |
$131,176,555 |
0.3% |
0.7% - 1.9% |
| ESRD |
1.1% |
1,260 |
$57,244,659 |
0.2% |
0.7% - 1.6% |
| Other FI Service Types |
1.8% |
6,626 |
$54,893,013 |
0.4% |
1.0% - 2.7% |
| Hospice |
0.5% |
875 |
$30,506,621 |
0.4% |
( 0.3%) - 1.3% |
| Non-PPS Hospital In-patient |
0.8% |
2,733 |
$26,805,372 |
0.3% |
0.3% - 1.4% |
| RHCs |
0.8% |
3,353 |
$3,090,183 |
0.2% |
0.4% - 1.1% |
| Free Standing Ambulatory Surgery |
0.9% |
83 |
$2,532,747 |
0.6% |
( 0.4%) - 2.1% |
| FQHC |
0.6% |
577 |
$1,882,474 |
0.4% |
( 0.1%) - 1.4% |
| All Type of Services (Incl. Codes Not Listed) |
2.3% |
64,317 |
$1,473,161,391 |
0.4% |
1.5% - 3.2% |
|
|