| Service Type Billed to FIs (Type of Bill) |
Paid Claims Error Rate |
95% Confidence Interval |
Type of Error |
| No Documentation |
Insufficient Documentation |
Medically Unnecessary Services |
Incorrect Coding |
Other |
/
|
/
|
/
|
/
|
/
|
/
|
/
|
/
|
| OPPS, Laboratory (an FI), Ambulatory (Billing an FI) |
4.0% |
1.4% - 6.6% |
3.9% |
31.8% |
4.0% |
58.5% |
1.8% |
| SNF |
2.6% |
1.8% - 3.4% |
1.3% |
26.8% |
21.0% |
39.5% |
11.4% |
| Other FI Service Types |
1.8% |
1.0% - 2.7% |
28.2% |
33.5% |
3.6% |
33.1% |
1.6% |
| HHA |
1.3% |
0.7% - 1.9% |
4.5% |
13.5% |
8.0% |
56.0% |
18.0% |
| ESRD |
1.1% |
0.7% - 1.6% |
0.8% |
45.4% |
0.6% |
53.2% |
0.0% |
| Free Standing Ambulatory Surgery |
0.9% |
( 0.4%) - 2.1% |
0.0% |
76.3% |
0.0% |
23.7% |
0.0% |
| Non-PPS Hospital In-patient |
0.8% |
0.3% - 1.4% |
2.1% |
75.9% |
11.3% |
9.2% |
1.5% |
| RHCs |
0.8% |
0.4% - 1.1% |
34.9% |
56.5% |
7.0% |
1.6% |
0.0% |
| FQHC |
0.6% |
( 0.1%) - 1.4% |
63.7% |
36.3% |
0.0% |
0.0% |
0.0% |
| Hospice |
0.5% |
( 0.3%) - 1.3% |
0.0% |
0.0% |
0.0% |
5.9% |
94.1% |
| All Types of Services |
2.3% |
1.5% - 3.2% |
4.0% |
29.6% |
9.0% |
49.5% |
7.8% |