tci Part B Insider - 2008 Issue 9

Part B Coding Coach: Auditing Tool-- 3 Can't-Miss Radiology Coding Lessons

Will Medicare be asking you to return part of the $59 million overpaid to radiologists?CMS is watching your claims, but the errors the agency is targeting may not be the ones you expect.Medicare's Comprehensive Error Rate Testing (CERT) scoured diagnostic radiology backup documentation and uncovered documenting disasters and an estimated $59 million in overpayments. But downcoding also made CERT's list of diagnostic radiology mistakes.Here are examples of the problems CERT found and how you can avoid them--so Medicare won't be asking you to repay part of that $59 million next time. 1. Try Checklists for Adequate...

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