tci Part B Insider - 2015 Issue 2

Compliance: CMS: Initial Hospital Visit Claims Riddled With Errors

The agency also points to 99214 as a sore spot. Nobody likes to be told that they’re coding incorrectly, but when CMS talks, it’s time to listen. The agency found billions of dollars paid to Part B practices in error over the last year, and you could be forced to send your MAC a refund if you’re one of the offenders. Read on for tips on how to avoid the most common errors that CMS uncovered during its latest audit. Documentation Sorely Lacking CMS’s new Comprehensive Error Rate Testing (CERT) results, which were released on...

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