tci Part B Insider - 2020 Issue Q1

Improper Payment Rate: Documentation Woes Plague Part B Practices

Hint: Check claims for accuracy before you submit in 2020. As the feds streamline the claims process for overburdened Part B providers, all the paperwork rollbacks may offer your practice much needed relief. However, don’t be lulled into a false sense of security by these administrative simplifications — accurate notes still matter, claims audits aren’t going away, and repayment is expected. Context: On Dec. 19, the Centers for Medicare & Medicaid Services (CMS) released its “2019 Medicare Fee-for-Service Supplemental Improper Payment Data” as part of its Comprehensive Error Rate Testing (CERT) program. The report breaks down...

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