tci Medicare Compliance & Reimbursement - 2018 Issue 2

Pocket These Stats and See If Your Service Ranks

Home health and lab services remain high on the improper payment rate spectrum. Claims reviews like the CERT report spotlight the negatives. But, the data shows that Medicare providers and suppliers are working hard to eradicate their coding and billing issues. Review: With about 90.5 percent of payments properly paid in 2017, CMS's new Comprehensive Error Rate Testing (CERT) results underline that some claims compliance progress was made last year. However the outcome held few surprises with DMEPOS sliding into first place with a 44.6 percent error rate (down from 46.3 percent in 2016) while Part...

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