1. Amount denied by pre payment edits 11.5/16.8
2. Billed amount denied by auto-denial edits 4.7/1.6
3. Payment suspensions 1.6/2.3
4. Amount of overpayments referred for recovery 4.4/35.6
5. Value of law enforcement referrals 68.2/73.2
6. Cost avoidance due to changes in behaviour 11.1/NA
7. Cost avoidance from revoking provider billing privileges
13.9/81.2
8. Total 115.4/210.7
Source: Centers for Medicare & Medicaid Services
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