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Expert Analysis

Payment Problems Still Plague Medicare Programs

Law360, New York (August 6, 2014, 10:50 AM EDT) -- The Senate Special Committee on Aging released a staff report on July 9 critiquing Medicare payment integrity programs for failing to curb the dramatic increase, from 8.5 to 10.1 percent, in the improper payment rate for Medicare fee-for-services during fiscal year 2013. The report, "Improving Audits: How We Can Strengthen the Medicare Program for Future Generations," validates providers' complaints "that the ... audits and claims review processes are duplicative and poorly coordinated, placing an undue burden on providers, while doing little to reduce improper payments," and explores case studies underscoring the adverse impacts of these practices....

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