tci Part B Insider - 2012 Issue 21

Coding Errors: Initial Hospital Care, New Patient Office Visits Suffer Highest Error Rates, CMS Says

Plus: Ob-gyns, thoracic surgeons, chiropractors make the most mistakes on claims. If your practice billed incorrectly 25 percent of the time, you'd be concerned, right? Ob-gyns take note--your specialty's error rate was 25.2 percent in 2010, CMS recently revealed. This and other revelations came to light in a recent series of data tables that the CERT committee released last month. Background: Last fall, we told you that CMS made $34.3 billion in improper payments during 2010, according to the Comprehensive Error Rate Testing (CERT) results for that year"but at the time, CMS didn't publish specifics about which...

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