Cert Program Calculates Bi-Annual Improper Payment Rates Based on the Results of the Reviews Conducted
A single federal award, with both ends of the trail linked.
Award HHSM500201600081G is a contract from the Department of Health and Human Services to Empower Ai, Inc., $230.2M obligated, FY2016 to FY2028, for Cert Program Calculates Bi-Annual Improper Payment Rates Based on the Results of the Reviews…. The work is performed in Virginia. It is classified as NAICS 541611 (Administrative Management and General Management Consulting Services) and PSC B537 (Special Studies/Analysis- Medical/Health). Source
Description
Igf::ot::igf the Cert Program Calculates Bi-Annual Improper Payment Rates Based on the Results of the Reviews Conducted. These Rates Include an Overall National Medicare FFS Improper Payment Rate and Improper Payment Rates for Each Claim Type [Part a Inpatient Hospital Prospective Payment System (PPS); Part a Excluding Inpatient Hospital PPS; Part B; and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (Dmepos)]. The Cert Program Ensures a Statistically Valid Random Sample; Therefore, the Improper Payment Rate Calculated from This Sample Is Considered to Be Reflective of All of Claims Processed by Medicare FFS Program During the Report Period. CMS Also Uses the Cert Program to Perform Special Studies and Supplemental Measurements to Determine the Improper Payment Rates of Particular Claim Types. Calculations of These Rates Facilitate CMS Ability to Take Appropriate Corrective Actions to Reduce Improper Payments.