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Costs & IRMAA

Nearly 1 in 4 Medicare Tube Feeding Claims Was Paid Incorrectly in 2024, CMS Says

CMS flagged a 23.8 percent improper payment rate for Medicare-covered enteral nutrition, a service that homebound seniors and nursing home residents depend on for nourishment when they cannot eat normally.

By the Goodsurance editorial teamJuly 23, 2026

CMS reported in its July 23, 2026, Medicare Learning Network newsletter that the improper payment rate for enteral nutrition reached 23.8 percent in 2024, with a projected improper payment total of 31.1 million dollars. Enteral nutrition delivers liquid nutrients through a tube for people who cannot absorb enough food by mouth because of illness, surgery, cancer treatment, a neurological condition, or a swallowing disorder. Medicare covers it as durable medical equipment under Part B when documentation requirements are met. According to CMS, insufficient documentation is the leading driver of errors, accounting for 48.8 percent of improper payments. Medical necessity issues contribute another 27.6 percent of errors, with other mistakes making up the rest. CMS reminded suppliers and treating practitioners that a complete written order and a face-to-face evaluation of the patient's condition are generally required to support a claim. When a claim is denied because of a documentation problem, beneficiaries who depend on tube feeding may face billing disputes and uncertainty about their coverage while providers appeal or resubmit. CMS has published compliance guidance and educational resources on its website to help suppliers and clinicians meet documentation standards for this service. The reminder is part of a continuing CMS effort to reduce improper payments across Medicare fee-for-service programs, which the agency tracks and reports annually.

Almost 1 in 4 Medicare tube feeding claims was paid incorrectly in 2024, mostly due to missing documentation.

In plain words

Tube feeding is when someone gets liquid food through a tube because they cannot eat normally. Medicare can pay for this service. But in 2024, about 1 in 4 of these claims was paid incorrectly. That adds up to about 31 million dollars in wrong payments. Most of the time, the problem is paperwork. Doctors and suppliers did not fill out the right forms. If you or a family member relies on tube feeding, make sure the doctor provides all the required records.

Source: CMS
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