tci Medicare Compliance & Reimbursement - 2014 Issue 6

CERT Results: Are Your Documentation Errors Leaving Money On the Table?

Tip: Upcoding isn’t the only issue, CMS says. The Centers for Medicare & Medicaid Services’ (CMS’s) recently released Comprehensive Error Rate Testing (CERT) report shows that medical practitioners left over $1 billion on the table by underbilling claims. It’s time to take a closer look at your billing practices in some key E/M areas.   The report, which was released last month, shows that chiropractic visits had far and away the most errors, totaling a 51.5 percent error rate in that specialty. Following behind were initial hospital care visits, which showed a 28.3 percent...

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