tci Part B Insider - 2018 Issue 2

Medicare Errors: New Data Highlights Part B Providers' Issues with E/M Claims

Downcoded claims account for a billion in missed opportunities. Put correct coding first on your 2018 practice to-do list, new data suggests. CMS found billions of dollars paid in error over the last year, and you could be forced to send your MAC a refund if you're one of the offenders. Read on for tips on how to avoid the most common errors the agency uncovered during its latest audit. Watch Your Documentation, Findings Suggest CMS's new Comprehensive Error Rate Testing (CERT) results, which were released on Jan. 8, show that practices made fewer errors in 2017 (with a...

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