HHS/CMS Ongoing Efforts to Reduce Improper Medicare Payments

Abstract

Payment & Practice Management| February 2021 HHS/CMS Ongoing Efforts to Reduce Improper Medicare Payments Sharon K. Merrick, MS, CCS-P Sharon K. Merrick, MS, CCS-P Search for other works by this author on: This Site PubMed Google Scholar ASA Monitor February 2021, Vol. 85, 26. https://doi.org/10.1097/01.ASM.0000733856.76241.99 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Twitter LinkedIn Cite Icon Cite Get Permissions Search Site Citation Sharon K. Merrick; HHS/CMS Ongoing Efforts to Reduce Improper Medicare Payments. ASA Monitor 2021; 85:26 doi: https://doi.org/10.1097/01.ASM.0000733856.76241.99 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsASA Monitor Search Advanced Search Topics: medicare, united states dept. of health and human services When it comes to Medicare payment, recent focus has been on the conversion factors used to determine payment for services paid via the Medicare Physician Fee Schedule and the development of value-based payment systems. However, this has not changed the requirement that the Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) take steps to reduce the incidence of improper payments per the Payment Integrity Information Act of 2019. Anesthesia and pain medicine practices should be aware of what services are considered particularly at risk for improper payments and the steps that HHS and CMS take to mitigate that risk. CMS did scale back its activities in this area from March to August 2020 due to the Public Health Emergency (PHE). Also due to the COVID-19 PHE, the 2020 analysis used claims dated from July 2018 to June 2019. The agency also adjusted... You do not currently have access to this content.