tci General Surgery Coding Alert - 2021 Issue Q2

Compliance: Spotlight General Surgery Billing Errors from CERT Report

See specific documentation pitfalls. Medicare Part B claims showed nearly a 3 percent error rate increase, according to the 2020 Medicare FFS Supplemental Improper Payment Data as part of the Comprehensive Error Rate Testing (CERT) program. Read on to see how surgery practices fared in the analysis and what you can do to avoid similar errors. Basis: Centers for Medicare & Medicaid Services (CMS) recently released the 2020 CERT data, which show Medicare Part B’s portion of the improper payment rate at 32.8 percent of the overall amount — a significant increase from the 2019 rate of...

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