tci Part B Insider - 2007 Issue 40

CLAIMS ACCURACY: Healthcare Practitioners Threw Away $259 Million Last Year

ASCs boast low error rates, general practices show the highestIf the latest CERT report is any indication, you could have made a lot more money last year.According to the Comprehensive Error Rate Testing (CERT) results that CMS released last week, Medicare carriers discovered more than $259 million in undercoding billing errors, which means that medical practices shorted themselves that much last year. For example, the report highlights a practice that billed 40 units of J1756 (Iron sucrose, 1 mg). CMS discovered, however, that the practice actually injected 200 mg, which would have allowed it to have billed 200...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.