tci Medicare Compliance & Reimbursement - 2015 Issue 10

Industry Notes: Performing CT Scans? Don't Make These Mistakes

If you’re performing CT scans, it’s a good time to check your documentation. CMS recently found a 16 percent improper payment rate among practices reporting these services, and the agency took a moment to remind CT scan practitioners about the importance of accurate documentation in a Medicare Learning Network Podcast on the topic. “Insufficient documentation caused more than 99 percent of the CERT review contractor identified improper payments,” CMS reps said on the podcast. “Insufficient documentation means that something was missing from the medical records. Missing orders caused over half of the payment denials...

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