decisionhealth Newsletters, Part B News - 2010 Issue 2 (February)
NPP Report: New CERT report shows NPP errors contributed to high error rate
Subscribe or sign in to view the full article.
Article Overview
This article summarizes a CMS Comprehensive Error Rate Test (CERT) report discussing documentation issues tied to the fee-for-service error rate and how they affected non-physician practitioners. It is relevant to billing, coding, compliance, and audit-readiness professionals who want to understand the types of documentation weaknesses highlighted by the report and the general implications for review and education. The piece also references carrier examples and the broader shift in CERT methodology and reporting.
Why This Topic Matters
It helps readers understand how CERT audit findings can influence documentation practices, compliance reviews, and education efforts across provider settings.
Article Sections
-
CERT report overview and methodology changes
Summarizes the national CERT findings and notes changes in how the report was compiled and presented. It also discusses the impact of the revised methodology on available audit breakdowns.
-
Documentation issues highlighted in CERT reviews
Describes the broad categories of documentation problems emphasized in the audit discussion. The section focuses on record support, orders, and signature-related concerns.
-
Carrier examples involving non-physician practitioners
Provides general examples from a carrier website showing how documentation concerns appeared in different clinical and billing contexts. The examples span several provider types and service categories.
What You Will Learn
- How CERT reporting changes affected the information available from audit results
- What broad documentation problems were emphasized in the report
- Why compliance and documentation review remain important for non-physician practitioner services
- How carrier examples can illustrate recurring audit concerns
Who Should Read This
- Medical coders
- Billing staff
- Compliance officers
- Practice managers
- Auditors
- Non-physician practitioners
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com