MEDICARE ERRORS: 99232 and 99211 Top the CERT List of Mistakes

Why This Topic Matters

The article helps readers identify where Medicare found the most frequent claim errors so they can prioritize documentation review, compliance monitoring, and internal education. It is especially relevant for practices that bill outpatient, hospital, emergency department, and nursing facility E/M services.

Article Sections

1. 99211 and documentation-related errors

   Discusses CMS findings related to a commonly billed outpatient evaluation and management service and the types of documentation problems identified in the report.

2. 99232 also on the list

   Summarizes Medicare’s findings for a subsequent hospital care service and the broader documentation issues associated with hospital visit reporting.

3. Practices undercoded as well

   Reviews the report’s discussion of claims that were paid too low and the service categories most often associated with those undercoding findings.