tci ED Coding & Reimbursement Alert - 2021 Issue Q1

Check the Coding Errors That CMS Evaluated

CMS identified a total of $25.74 billion in total improper payments among providers sampled in the 2020 CERT report, and broke down those charges in a variety of categories. Check out the following explanation of how many issues the agency found in each section, and how you can avoid making the same mistakes. Insufficient Documentation CMS found that the vast majority of improper Medicare payments — 63.1 percent — were due to insufficient documentation. In these situations, the medical records do not substantiate whether the service was medically necessary. Example: The documentation includes the phrase “ED...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.


You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1998 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci ED Coding & Reimbursement Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.