High-Risk, Error-Prone HHA Providers Using HHA Historical Data
For Calendar Year 2016, Medicare paid home health agencies (HHAs) about $18.2 billion for home health services. CMS's Comprehensive Error Rate Testing (CERT) program determined that the 2016 improper payment error rate for home health claims was 42 percent, or about $7.7 billion. Using data from the CERT program, we will identify the common characteristics of "at risk" HHA providers that could be used to target pre- and post-payment review of claims.
Announced or Revised | Agency | Title | Component | Report Number(s) | Expected Issue Date (FY) |
---|---|---|---|---|---|
Completed | Centers for Medicare & Medicaid Services | High-Risk, Error-Prone HHA Providers Using HHA Historical Data | Office of Audit Services | A-05-17-00035; W-00-17-35800; |
2019 |