Reimbursement: E/M Services Factor Heavily in Improper Payment Numbers

Article Overview

This article explains Medicare improper payment findings from CMS’s CERT program and summarizes why evaluation and management services draw significant attention in the error-rate data. It is useful for billing, coding, compliance, and reimbursement professionals who monitor Medicare payment integrity, claim review trends, and the types of services receiving increased oversight. The piece also places the findings in the context of broader Medicare Parts A, B, and DMEPOS improper payment reporting and mentions CMS education and review initiatives.