tci Medicare Compliance & Reimbursement - 2012 Issue 8

Billing Errors: One Medicaid Payer Reveals Its Top 5 Errors -- Know How You Can Avoid Making the Same Mistakes

Coding errors once again top the list of the most common mistakes. Did you catch a miscoded service today before sending out a claim? You just missed making one of the biggest errors that Medicaid payers see. That's the word from one Medicaid payer's study of the most common errors submitted by medical practices. The "Medi-Cal Payment Error Study" researched the biggest errors submitted to California's Medicaid program in 2009, and found only a 5.45 percent error rate. Although that rate sounds fairly low, it represented over $1 billion in inappropriately paid claims. Physician claims were responsible for...

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