tci Medicare Compliance & Reimbursement - 2014 Issue 18

Medicare Errors: Will Your MAC Come Asking For Money Back?

CMS’s new CERT results show that practices made more errors in 2013 than in the previous year. Part B practices made the lion’s share of coding errors in 2013, according to the new Comprehensive Error Rate Testing (CERT) results, which were released on July 24 by the Centers for Medicare & Medicaid Services (CMS). Overall, practices made more errors in 2013 than in the previous year (2012’s error rate was 8.5 percent).  Most of the errors were discovered as overpayments — meaning that CMS identified $36.8 billion that went out to Medicare providers...

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