tci Part B Insider - 2015 Issue 13

Compliance: Medicare Auditors Target ESRD Coding Errors

Plus: One-third of TAVR claims audited were improperly paid. If you’re hungry for the latest details about which coding issues the government auditors have uncovered most recently, the answer could like in the results that auditors recently provided to CMS, which were published in its April 2015 Medicare Quarterly Provider Compliance Newsletter. And if you’re one of the practices that submits claims for end-stage renal disease (ESRD) services, the audit contractors might be looking for you. Insufficient Documentation Among Biggest Errors The Medicare auditors performed a “special study” of the 90960-90961 series, which relate to ESRD...

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