Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: January 06, 2020

National CERT Improper Payment Rate by Reporting Year

Reporting Year1	Total Expenditures (B)	Improper Payment Rate2	95% Improper Payment Rate Confidence Interval	Improper Payment Amount (B)
2014	$360.2	12.7%	11.9% - 13.5%	$45.8
2015	$358.35	12.09%	11.4% - 12.7%	$43.33
2016	$373.65	11.00%	10.2% - 11.8%	$41.08
2017	$380.76	9.51%	8.9% - 10.1%	$36.21
2018	$389.30	8.12%	7.6% - 8.6%	$31.62
2019	$398.62	7.25%	6.9% - 7.6%	$28.91
2020	$410.81	6.27%	5.8% - 6.7%	$25.74
2021	$399.78	6.26%	5.8% - 6.7%	$25.03
2022	$421.91	7.46%	6.9% - 8.0%	$31.46
2023	$423.01	7.38%	6.8% - 7.9%	$31.23
2024	$413.72	7.66%	7.2%-8.1%	$31.70

¹ Each reporting year contains claims submitted July 1 two years before the report through June 30 one year before the report. For example, reporting year 2024 contains claims submitted July 1, 2022 through June 30, 2023.

² Adjusted for A/B rebilling

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.