Medicare Errors: SPECT Coding Tops CMS List Of 'No Documentation' Errors
CMS overpaid $15.2 million last year for 78465 -- here's how to avoid common mistakes
Fail 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 (Medicare Compliance & Regulation, Vol. 34, No. 22, pages 1-2). 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...
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