tci Part B Insider - 2009 Issue 15

MEDICARE ERRORS: E/M Codes Top the List of CERT Mistakes, CMS Says

With over $600 million paid improperly, physicians didnt document their subsequent hospital care well. If your favorite code is 99211, watch out. A new CMS report reveals that more than 15 percent of claims submitted to Part B for this code between Sept. 2006 and Sept. 2007 were missing critical documentation, causing Medicare to request more than $24 million back from providers. The comprehensive error rate testing (CERT) report found 99211 billed inappropriately in the insufficientdocumentation category. Meanwhile, the CMS report indicates that Medicare paid out nearly $39 million more than it should have for subsequent hospital care code...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.