tci Part B Insider - 2008 Issue 21

IMAGING: SPECT Coding Tops CMS' List of 'No Documentation' Errors--Now Medicare Is Watching

CMS overpaid $15.2 million last year for 78465--we-ll show you how to avoid several common mistakesFail to maintain documentation for your SPECT claims, and you could be a Medicare statistic.Last week, we told you about some of the most egregious errors that CMS found as part of its CERT review (Insider, Vol. 9, No. 20, pages 153-154). Today, we-re focusing on code 78465, which was the number-one procedure code that CMS found had no documentation to back up the claims, resulting in more than $15 million in improperly paid claims.The CERT report's focus on 78465 (Myocardial...

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