decisionhealth Newsletters, Part B News - 2007 Issue 7 (July)
Error rates continue falling
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Article Overview
This article summarizes CMS’s mid-year Comprehensive Error Rate Testing (CERT) report and the broader Medicare payment accuracy picture. It discusses overall and Part B error-rate trends, the leading causes of incorrect payments, and the types of evaluation and management services that continue to appear most often in the error findings. The piece is relevant to coders, auditors, compliance staff, and billing professionals who track Medicare claim accuracy and CMS review activity.
Why This Topic Matters
It helps readers understand where Medicare claim errors are most often found and how CMS is reporting payment accuracy trends. That makes it useful for organizations monitoring audit risk, documentation quality, and coding compliance in Medicare billing.
What You Will Learn
- How CMS’s CERT program reports Medicare payment error trends
- What broad categories of claim issues continue to drive improper payments
- Which service types are commonly represented in the error findings
- How CMS discusses error-rate targets and reported performance
Who Should Read This
- Medical coders
- Compliance officers
- Billing staff
- Practice managers
- Auditors
- Revenue cycle professionals
Codes Discussed
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