E/M Coding Alert - 2018 Issue 2
CMS Spotlights Insufficient Data Issue in CERT Release
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Article Overview
This article summarizes a CMS CERT report discussion of insufficient documentation and the supplemental data CMS used to group and analyze error categories. It is relevant for compliance, billing, and coding professionals who monitor documentation quality, medical review findings, and Medicare payment integrity reporting. The article covers the general CERT framework, the concept of universal error categories, and the associated percentage breakdowns referenced in the report.
Why This Topic Matters
It helps readers understand how CMS is framing documentation-related errors in CERT reporting and why insufficient data remains a major compliance and payment-integrity issue.
What You Will Learn
- How CMS describes insufficient documentation within CERT reporting
- What the article says about the CERT supplemental data summary
- How universal error categories are used in the report context
- Why documentation quality is emphasized in Medicare review findings
Who Should Read This
- Medical coders
- Billing specialists
- Compliance staff
- Revenue cycle professionals
- Healthcare auditors
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