News You Can Use: CERT Results Show E/M Errors Top the Problem List

Why This Topic Matters

CERT findings help practices understand the types of claim issues that most often trigger denials, overpayment recovery, or audit attention. The article is relevant for organizations monitoring documentation quality, coding accuracy, and Medicare payment integrity risk.

Article Sections

1. CERT results and improper payment overview

   Introduces the CMS CERT findings and summarizes the overall Medicare Fee-for-Service improper payment picture. It places the report in context across major claim categories and payment errors.

2. Documentation and incorrect coding findings

   Reviews the report’s broad categories of claim error, including documentation-related issues and coding accuracy. It compares error patterns across Medicare claim types at a high level.

3. Avoid These E/M Errors

   Focuses on the article’s discussion of evaluation and management claim issues identified in the CERT report. It highlights the article’s emphasis on common problem areas within E/M review.

4. Split/shared services

   Summarizes the article’s discussion of split/shared E/M claim review and documentation concerns. It addresses the broader compliance context for these services.

5. California, New York Top Error List

   Presents the report’s geographic comparison of error rates by state. It identifies the article’s summary of where the highest percentages of errors were found.