The Centers for Medicare & Medicaid Services (CMS) took aim at improper skilled nursing payment rates in its latest memo on May 4.
This appears to be a reaction from data compiled using the Comprehensive Error Rate Testing (CERT) program, which projected an improper payment rate of 15.1% in 2022 for Medicare Fee-for-Service (FFS), nearly double compared to 7.79% in 2021.
“They felt the error rate was so high that they needed to check everyone,” Alicia Cantinieri, vice president of MDS policy and education for Zimmet Healthcare Services Group told Skilled Nursing News.