tci Part B Insider - 2020 Issue Q1

Coding Errors: CERT Data Highlights Providers’ Struggles with E/M Services

Tip: Boost your code choice with strong notes. It’s no surprise that practices struggle with properly documenting and coding E/M services. After all, these popular codes are the foundation of many providers’ Medicare pay. But some codes pose more of a challenge than others, and the latest Comprehensive Error Rate Testing (CERT) numbers may come as a shock. Background: In coordination with the CERT program, the Centers for Medicare & Medicaid Services (CMS) recently issued the report, “2019 Medicare Fee-for-Service Supplemental Improper Payment Data.” The brief highlights the most prevalent errors in the different parts of...

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