tci ED Coding & Reimbursement Alert - 2019 Issue 2
Part B Payments: CMS: 11.3 Percent of ED Visits Were Paid Improperly
Emergency department practitioners exceed the national improper payment rate. Your emergency department is probably active and bustling every day, but it’s possible that with all that activity, correct coding could be falling through the cracks. ED practices logged higher error rates than the general Part B population, according to the latest report from CMS. The backstory: CMS issued its “2018 Medicare Fee-for-Service Supplemental Improper Payment Data” on November 30 as part of its Comprehensive Error Rate Testing (CERT) program. The report breaks down the biggest errors among Medicare claims, and covers the causes of the improperly...
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