Government-Wide Improper Payment Root Causes (FY 2016)


Root CauseAmount in Billions
Program Design$5.42
Inability to Authenticate Eligibility$33.15
Failure to Verify$3.2
Administrative or Process Errors Made by: Federal Agency$10.17
Administrative or Process Errors Made by: State or Local Agency$25.02
Administrative or Process Errors Made by: Other Party$17.03
Medical Necessity$6.35
Insufficient Documentation to Determine$40.14
Other Reason$0.4