tci Medicare Compliance & Reimbursement - 2008 Issue 22

Medicare Errors: Documentation Errors Cost Practices $1.3 Billion In 2007

Total error rate topped $10.2 billion Can't get your physician to document thoroughly? The latest CERT report results might whip him into shape very quickly. According to the most recent Comprehensive Error Rate Testing (CERT) results, Medicare requested $9.3 billion in reimbursement back from practices that lacked complete documentation, and your practice may have been one of them. The new CERT results, which reported data from claims submitted to Medicare between Oct. 1, 2006, and Sept. 30, 2007, were released May 16. The new report didn't include only bad news, however. Despite an improper-payment tally of $10...

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