| Type Of Bill |
Overcoding Errors |
| Paid Error Rate |
Projected Improper Payments |
95% Confidence Interval |
/
|
/
|
/
|
/
|
| SNF-inpatient (including Part A) (21) |
1.0% |
$216,671,103 |
0.4% - 1.6% |
| Hospital-outpatient (HHA-A also)(under OPPS 13X must be used for ASC claims submitted for OPPS payment -- eff. 7/00) (13) |
0.4% |
$88,466,021 |
0.2% - 0.5% |
| Special facility or ASC surgery-rural primary care hospital (eff 10/94) (85) |
1.4% |
$36,475,588 |
( 0.2%) - 3.1% |
| HHA-outpatient (HHA-A also) (33) |
0.4% |
$25,989,837 |
( 0.2%) - 1.1% |
| Clinic-hospital based or independent renal dialysis facility (72) |
0.4% |
$25,370,225 |
0.1% - 0.6% |
| HHA-inpatient or home health visits (Part B only) (32) |
0.3% |
$23,675,687 |
0.1% - 0.5% |
| Special facility or ASC surgery-hospice (non-hospital based) (81) |
0.2% |
$13,921,897 |
( 0.1%) - 0.4% |
| SNF-inpatient or home health visits (Part B only) (22) |
0.6% |
$7,475,792 |
0.1% - 1.0% |
| Hospital-inpatient (including Part A) (11) |
0.1% |
$5,348,576 |
( 0.1%) - 0.4% |
| Clinic-ORF only (eff 4/97); ORF and CMHC (10/91 - 3/97) (74) |
0.6% |
$3,580,835 |
0.0% - 1.2% |
| Special facility or ASC surgery-hospice (hospital based) (82) |
0.3% |
$3,139,764 |
( 0.3%) - 0.8% |
| Clinic-CORF (75) |
0.6% |
$1,036,617 |
( 0.1%) - 1.4% |
| Hospital-inpatient or home health visits (Part B only) (12) |
0.2% |
$886,190 |
( 0.1%) - 0.5% |
| Hospital-other (Part B) (14) |
0.1% |
$527,130 |
( 0.0%) - 0.2% |
| Special facility or ASC surgery-ambulatory surgical center (Discontinued for Hospitals Subject to Outpatient PPS; hospitals must use 13X for ASC claims submitted for OPPS payment -- eff. 7/00) (83) |
0.0% |
$95,068 |
( 0.0%) - 0.1% |
| SNF-outpatient (HHA-A also) (23) |
0.0% |
$22,291 |
( 0.0%) - 0.0% |
| Overall |
0.5% |
$452,682,619 |
0.3% - 0.7% |
|
|