Coding Errors: CMS: Improper E/M Coding Remains a Growing Problem

Article Overview

This article reviews a CMS CERT report on Medicare fee-for-service improper payment trends and explains why evaluation and management billing remains a major source of risk for Part B providers. It is relevant to coders, auditors, compliance staff, and billing professionals who track documentation quality, incorrect coding, and payment error trends across Medicare claim types and settings. The article also notes geographic variation in error rates and discusses concerns involving non-physician practitioner billing and claims review findings.