tci Medicare Compliance & Reimbursement - 2020 Issue Q1

Coding Errors: Documentation Struggles Top CERT Report

‘Corrective actions’ factor in 2019 improper payment rate reductions. You may find Medicare’s paperwork rollbacks encouraging as the feds continue to streamline the claims process for overburdened providers. However, don’t be lulled into a false sense of security by these administrative simplifications — accurate notes still matter, claims audits aren’t going away, and repayment is expected.  Context: On Dec. 19, the Centers for Medicare & Medicaid Services (CMS) released its “2019 Medicare Fee-for-Service Supplemental Improper Payment Data” as part of its Comprehensive Error Rate Testing (CERT) program. The report looks at the biggest...

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