A majority of the improper payments were due to overpayments, or providers overbilling government payers. Providers overbilled Medicare Part A and Part B $34.6 billion in FY 2013, which ended Sept. 30, and they overbilled Medicaid $13.9 billion.
Here are 12 statistics on improper Medicare and Medicaid payments during the government’s 2013 fiscal year, based on the HHS report.
Medicare Part A and Part B
Total improper payments: $36 billion
Overpayments: $34.6 billion
Underpayments: $1.4 billion
Medicare Part C
Total improper payments: $11.8 billion
Overpayments: $9.3 billion
Underpayments: $2.5 billion
Medicare Part D
Total improper payments: $2.1 billion
Overpayments: $1.7 billion
Underpayments: $351 million
Medicaid
Total improper payments: $14.4 billion
Overpayments: $13.9 billion
Underpayments: $461 million
More Articles on Hospitals and Medicare/Medicaid Payments:
3 Key Medicare RAC Issues for Hospitals
St. Vincent’s HealthCare Battles Audit of $3.3M in Medicare Overpayments
OIG Says HCA’s JFK Medical Center Must Repay $4.4M to Medicare
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.