Medicare Compliance & Reimbursement

Ob-gyns, emergency room visits and initial hospital visits need to be concerned. Chiropractic, ob-gyn, and thoracic surgery practices had an alarming billing error rate in 2010, new data indicates. Find out how your specialty rates in data tables the CERT committee released in May. Background: The Centers for Medicare & Medicaid Services made $34.3 billion in improper payments during 2010, according to the Comprehensive Error Rate Testing (CERT) results for that year -- but at the time the findings were released, CMS didn't publish specifics about which procedure codes and specialties produced the most errors. In May, however, CMS released the appendices to accompany the 2010 error statistics, and sifting through the tables revealed some interesting facts. E/M Services Rack Up High Errors CMS evaluated the top 20 Part B service types with the highest improper payment rates, and after chiropractic services (which had almost 44 percent of claims billed in [...]