tci Medicare Compliance & Reimbursement - 2013 Issue 19

Which Specialties Are Billing Improperly?

The government’s CERT report not only identifies the types of errors that practices make — it also profiles which specialties had the highest Part B error rates, as follows: Specialty Error Rate Chiropractic 47.4% Allergy/immunology 42.6% Private practice occupational therapist 21.0% Radiation Oncology 19.4% Clinical laboratory 19.2% Psychiatry 19.2% Infectious disease 17.7% Neurology 17.7% Private practice physical therapist 17.5% Pulmonary disease 15.5% General practice 15.4% Internal medicine 14.9% Clinical psychologist 14.4% Pain management 14.0% ...

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