decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 1 (January)
Coding errors on the decline
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Article Overview
This article reviews CMS Comprehensive Error Rate Testing (CERT) results and trends in physician practice coding accuracy. It is aimed at coders, compliance staff, and billing professionals who monitor claim quality, documentation issues, and Medicare payment error patterns. The piece covers reported error-rate changes, broad categories of improper payment findings, and the types of evaluation and management services most often associated with claim errors.
Why This Topic Matters
Understanding CERT trends helps coding and compliance teams gauge where claim vulnerabilities remain, how documentation and coding accuracy are changing over time, and which service categories continue to draw scrutiny from Medicare review programs.
What You Will Learn
- How CMS CERT reporting is used to track coding and payment error trends
- What broad categories of claim issues are contributing to improper payments
- Which types of evaluation and management services are most commonly associated with errors
- How the article frames changes in overall improper payments over time
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Practice managers
- Revenue cycle teams
Codes Discussed
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