tci Part B Insider - 2022 Issue Q1

Compliance: CERT Report: Insufficient Documentation Remains a Thorn in Providers’ Sides

Beef up your notes to sidestep issues. Seasoned coders do their best to ensure that claims show medical necessity, utilize the correct codes, and are well-documented. But errors still crop up — and those mistakes can amount to billions in improper payments. Now: The Centers for Medicare & Medicaid Services (CMS) published its “2021 Medicare Fee-for-Service Supplemental Improper Payment Data” on Dec. 7, 2021 as part of its Comprehensive Error Rate Testing (CERT) program. The report breaks down the biggest errors among Medicare claims and covers the causes of the improperly paid charges. Reminder: CMS notes that it...

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