tci Medicare Compliance & Reimbursement - 2021 Issue Q1

Compliance: CERT: Documentation Issues Plague Providers

Plus: Data reveals Part B error rate increased for FY 2020. Though the feds show that the overall Medicare fee-for-service (FFS) improper payment rate declined for fiscal year (FY) 2020, recent data also indicates that Part B’s rate increased by almost 3 percent. Read on for the details. Context: On Dec. 21, 2020, the Centers for Medicare & Medicaid Services (CMS) released its 2020 Medicare Fee-for-Service Supplemental Improper Payment Data as part of its Comprehensive Error Rate Testing (CERT) program. The CERT report, as it’s commonly referred to, offers statistics and methodologies on the biggest errors found...

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