E/M Coding Alert - 2009 Issue 36
PHYSICIAN NOTES: OIG Finds That CMS's Comprehensive Error Rate Testing (CERT) Results Were Inaccurate
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Article Overview
This article covers an Office of Inspector General review of CMS Comprehensive Error Rate Testing (CERT) results and notes that the reported error rate may have understated the actual level of improper payment risk. It also briefly mentions separate enforcement activity involving alleged Stark and Civil Monetary Penalties law violations. The piece is aimed at readers who follow Medicare program integrity, audit findings, and compliance-related developments.
Why This Topic Matters
It highlights a potential gap between reported Medicare payment error findings and the results of an OIG review, which may be relevant to compliance, audit oversight, and documentation review practices.
What You Will Learn
- What the article reports about an OIG review of CMS CERT results
- Why Medicare audit findings and documentation review are relevant to compliance audiences
- What broader enforcement topics are referenced alongside the CERT discussion
- Where to look for the underlying OIG report referenced by the article
Who Should Read This
- Physicians
- Medical coders
- Compliance professionals
- Healthcare auditors
- Revenue cycle staff
- Hospital compliance teams
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