tci Part B Insider - 2011 Issue 27

Physician Note: CMS Identifies the 4 Biggest Errors Among Therapy Claims

Plus: CMS finds 'significant' portion of chiropractic claims paid inappropriately.When it comes to Medicare's Comprehensive Error Rate Testing (CERT) reports, the agency tells it like it is --and CMS found four major errors among outpatient rehabilitation therapy service claims.According to the new fact sheet entitled, "Comprehensive Error Rate Testing (CERT) -- Outpatient Rehabilitation Therapy Services," the main issues found among these claims are the following:Missing/incomplete plan of care/treatment planMissing physician/non-physician practitioner (NPP) signature and datesMissing modality timeMissing certification and recertificationTip: When you report a CPT® code for therapy services, double-check to determine whether CPT® classifies it...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.