Error Rates: Nail Down Your E/M Claims to Stay Off the Audit Hit List

Article Overview

This article explains a CMS CERT report focused on Medicare fee-for-service improper payments and how the findings relate to E/M coding and documentation. It is aimed at physicians, coders, billing staff, and practice leaders who want to understand broad audit-risk themes, documentation concerns, and non-physician practitioner billing issues. The discussion centers on error patterns, overpayment exposure, and the importance of internal education and review processes.