tci Medicare Compliance & Reimbursement - 2015 Issue 3

Compliance: Avoid These Costly CERT Errors

Be warned: You could be forced to send your MAC a refund. The Centers for Medicare & Medicaid Services (CMS) uncovered some surprising errors in its latest audit. Whether you are upcoding or are leaving dollars on the table, you put your bottom line at risk and could invite unwanted scrutiny. Reduce your error rate by fixing some of the most common issues. Documentation Sorely Lacking CMS’s new Comprehensive Error Rate Testing (CERT) results, which were released on Dec. 15, show that practices made more errors in 2014 (with a national average error rate of 12.1 percent)...

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