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Medicare Compliance & Reimbursement

Claim Errors:

Avoid Making These Common E/M Errors To Keep Your Reimbursement Intact

Published on Mon Sep 03, 2012

CMS reveals shocking 9.2 percent error rate in latest CERT results.The latest Comprehensive Error Rate Testing (CERT) results are out and the CMS has disclosed that $7.8 billion was improperly paid in 2011. You need to be certain that your practice is not making these claims errors, including insufficient or missing documentation, which could result in your having to pay money back.Of the claims paid in error, CMS identified that the vast majority of the sum were overpayments, and less than $1 billion were in underpayments. If you received an overpayment, chances are that your MAC will be asking for money back -- if it hasn't already. And if you were among those who underbilled your MAC, you deserve to go after your remaining money.E/M Services Once Again Account for Major IssuesCMS found that E/M services were 50 percent more likely to contain errors than other Part B services, and accounted [...]
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