Don't have a TCI SuperCoder account yet? Become a Member >>

Part B Insider (Multispecialty) Coding Alert

Part B Errors:

Assigning the Wrong E/M Code to Your Claims? You're Not Alone, CMS Says

Joint replacements, pacemakers also log high error rates. Would your practice be comfortable with a 9.2 percent error rate? Probably not--and neither is CMS. In its latest Comprehensive Error Rate Testing (CERT) results, CMS reveals that $7.8 billion was improperly paid in 2011, resulting in a 9.2 percent Part B error rate. Of the claims paid in error, CMS identified that the vast majority of overpayments to Part B practices 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 Issues CMS found that E/M services were 50 percent more likely to contain errors than other Part B services, and accounted for over 12 percent of [...]