tci General Surgery Coding Alert - 2015 Issue 1

Medicare Errors: Let CERT Findings Focus E/M Claims

Avoid key documentation mistakes that cost you pay. Imagine if you lost 10 percent of your general surgery practice’s collections — you’d be in big trouble. Well, that’s the error rate CMS found in the latest Comprehensive Error Rate Testing (CERT) results, and your MAC may come looking for money you still owe them. Possibility: CMS also noted in the report that it still owes $1.4 billion to providers who were underpaid in 2013 — so consider that a refund might be coming your way. Either way, read on to leverage the report findings into...

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