Outpatient Facility Coding Alert - 2014 Issue 9
Medicare Errors: Practices Underbilled $1.3 Billion in 2013, CMS Report Shows
Subscribe or sign in to view the full article.
Article Overview
This article reviews CMS Comprehensive Error Rate Testing (CERT) results for Medicare Part B and discusses where improper payments were most common, what types of claim errors dominated, and which broad service categories were most affected. It is useful for billing, coding, and compliance professionals who want a high-level view of Medicare error trends and the kinds of services that drew the most scrutiny in the report.
Why This Topic Matters
Understanding CERT findings helps practices identify risk areas in Part B billing and recognize where documentation and coding processes may be contributing to payment errors. The article is relevant for organizations monitoring compliance, reimbursement leakage, and service lines with elevated error rates.
What You Will Learn
- How CMS CERT results describe Medicare Part B improper payment trends
- Which broad categories of claim errors were most common
- What service lines were highlighted as frequent sources of billing error
- How undercoding and documentation issues can affect reimbursement
- Why CERT results are relevant to compliance and revenue integrity efforts
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Revenue cycle managers
- Physician practices
- Hospital coding teams
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com