In Audit
Jun 1st, 2012
The Centers for Medicare & Medicaid Services (CMS) has posted on its website the MLN Quarterly Provider Compliance Newsletter for April. The top billing errors for this month, detected by Comprehensive Error Rate Testing (CERT) and recovery auditors, all pertain to inpatient hospitals. Three-day Rule At the top of the list is a CERT finding ...
In Audit
Aug 27th, 2010
DCS Healthcare, recovery audit contractor (RAC) for Region A, posted 11 newly approved audit issues on its website mid-August. Unlike its counterpart, CGI Federal, none of the new issues include medical necessity review. Nine of the new issues are for medical severity-diagnosis related groups (MS-DRGs), another also affects inpatient claims and another affects durable medical equipment (DME) ...
Nov 1st, 2007
By Denae M. Merrill, CPC, with assistance from Frank Schinco, MD Have you ever felt like the wording in the CPT® codebook was written in a foreign language? It seems even more true in the Nervous System: Skull, Meninges, and Brain section. In order to better understand this section, we will break down the wording from ...