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FY 2024 Medicare Fee-for-Service Improper Payment Rate

CMS reported the national Medicare Fee-for-Service (FFS) improper payment rate in the FY 2024 HHS Agency Financial Report. See the Other Information section under Payment Integrity Report.

The 2024 national Medicare FFS improper payment rate is 7.66%, or $31.7 billion in improper payments. Most of these improper payments fall into 2 categories:

  1. Insufficient documentation
  2. Documentation provided didn’t sufficiently demonstrate medical necessity

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