DecisionHealth, DecisionHealth - 2025 Issue 6 (June)

Adopt best practices for documenting bacterial culture lab tests

CMS determined the improper payment rate for bacterial culture lab tests was 15.1% in 2023, with a projected improper payment amount of $9.6 million. Insufficient documentation accounted for 100% of improper payments for these tests during this reporting period, according to the agency.

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