tci Medicare Compliance & Reimbursement - 2008 Issue 23

Medicare Errors: SPECT Coding Tops CMS List Of 'No Documentation' Errors

CMS overpaid $15.2 million last year for 78465 -- here's how to avoid common mistakes Fail to maintain documentation for your SPECT claims, and you could be a Medicare statistic. Last week, we told you about some of the most egregious errors that CMS found as part of its CERT review (Medicare Compliance & Regulation, Vol. 34, No. 22, pages 1-2). Today, we're focusing on code 78465, which was the number-one procedure code that CMS found had no documentation to back up the claims, resulting in more than $15 million in improperly paid claims. The CERT report's focus...

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