Government-Wide Improper Payment Root Causes (FY 2016)


Root CauseAmount in Billions
Program Design$5.28
Inability to Authenticate Eligibility$34.39
Failure to Verify$3.61
Administrative or Process Errors Made by: Federal Agency$3.11
Administrative or Process Errors Made by: State or Local Agency$23.84
Administrative or Process Errors Made by: Other Party$21.85
Medical Necessity$8.15
Insufficient Documentation to Determine$43.6
Other Reason$0.6