tci E/M Coding Alert - 2013 Issue 10

News You Can Use: CERT Results Show E/M Errors Top the Problem List

CMS finds 14.0 percent improper E/M payment rate. If your practice’s collections rate was off by 8.5 percent, you’d be in big trouble, right? Well, that’s the 2012 Medicare Fee-for-Service improper payment rate, and your MAC may come looking for money you still owe to them. CMS’s new Comprehensive Error Rate Testing (CERT) results, which were released on Sept. 9, show that practices actually made fewer errors in 2012 than in the previous year (2011’s error rate was 8.6 percent). Most of the errors were discovered as overpayments--meaning that CMS identified...

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