tci Part B Insider - 2011 Issue 27

Physician Note: CMS Identifies the 4 Biggest Errors Among Therapy Claims

Plus: CMS finds 'significant' portion of chiropractic claims paid inappropriately.When it comes to Medicare's Comprehensive Error Rate Testing (CERT) reports, the agency tells it like it is --and CMS found four major errors among outpatient rehabilitation therapy service claims.According to the new fact sheet entitled, "Comprehensive Error Rate Testing (CERT) -- Outpatient Rehabilitation Therapy Services," the main issues found among these claims are the following:Missing/incomplete plan of care/treatment planMissing physician/non-physician practitioner (NPP) signature and datesMissing modality timeMissing certification and recertificationTip: When you report a CPT® code for therapy services, double-check to determine whether CPT® classifies it...

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