tci Part B Insider - 2009 Issue 15

MEDICARE ERRORS: Occupational Therapists, Neurosurgeons Need to Tighten Coding

Anesthesiologists, interventional radiologists, and ASCs come out looking good in latest CERT report. CMS outlined the results of its latest comprehensive error rate testing(CERT) report, and the outcome could affect your bottom line down the road. In the report, which discusses Medicare coding errors that occurred between Sept. 2006 and Sept. 2007, CMS indicates that it intends to use the CERT results to focus future claim reviews on this reports errors. CMS will use the error rate findings described in this report to determine underlying reasons for claim errors and to adjust its action plans to improve compliance in...

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