Medicare Compliance & Reimbursement

Inadequate Notes Account for More Than Half of Improper Payments

Lack of medical necessity and lax coding round out the top 3 reasons. For FY 2018, CMS uncovered $31.6 billion in improper payments. The agency broke down the claims and coding issues into categories, highlighting the areas in need of improvement. Review the following breakdown of the problems CMS found in each category outlined in the “2018 Medicare Fee-for-Service Supplemental [...]

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