tci Part B Insider - 2015 Issue 30

Coding Errors: CMS: Improper E/M Coding Remains a Growing Problem

Part B error rate is worse this year than last. No matter where you look, you’re likely to find a news story about a practice that billed Medicare incorrectly, but that fact doesn’t seem to discourage practices from coding incorrectly. In fact, error rates seem to be climbing instead of dropping. The 2014 Medicare Fee-for-Service improper payment rate ratcheted up to 12.7 percent last year, far worse than the error rates logged in 2012 and 2013, according to the latest CERT report, which CMS released last month. Medicare Will Want Refunds Most of the errors were...

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