tci Part B Insider - 2013 Issue 32

Medicare Errors: E/M Errors Top Medicare's List of Improperly Billed Codes in 2012

CERT results reveal $29.6 billion in improper Medicare payments--$1.1 billion of which was underpaid. If your practice’s collections rate was off by 8.5 percent, you’d be in big trouble, right? Well, that’s the 2012 Medicare Fee-for-Service improper payment rate, and your MAC may come looking for money you still owe to them. CMS’s new Comprehensive Error Rate Testing (CERT) results, which were released on Sept. 9, show that practices actually made fewer errors in 2012 than in the previous year (2011’s error rate was 8.6 percent). Most of the errors...

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