tci Part B Insider - 2014 Issue 31

Medicare Errors: E/M Errors Plague Medicare Claims Accuracy

CERT results reveal $38.2 billion in improper Medicare payments--$1.4 billion of which was underpaid. If your practice’s collections rate was off by ten percent, you’d be in big trouble, right? Well, that’s the 2013 Medicare Fee-for-Service improper payment rate, and your MAC may come looking for money you still owe to them. CMS’s new Comprehensive Error Rate Testing (CERT) results, which were released on July 24, show that practices made more errors in 2013 than in the previous year (2012’s error rate was 8.5 percent). Most of the errors were discovered...

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