tci Medicare Compliance & Reimbursement - 2012 Issue 17

Claim Errors: Avoid Making These Common E/M Errors To Keep Your Reimbursement Intact

CMS reveals shocking 9.2 percent error rate in latest CERT results.The latest Comprehensive Error Rate Testing (CERT) results are out and the CMS has disclosed that $7.8 billion was improperly paid in 2011. You need to be certain that your practice is not making these claims errors, including insufficient or missing documentation, which could result in your having to pay money back.Of the claims paid in error, CMS identified that the vast majority of the sum were overpayments, and less than $1 billion were in underpayments. If you received an overpayment, chances are that your...

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