Medicare Compliance & Reimbursement

Which Specialties Are Billing Improperly?

The government’s CERT report not only identifies the types of errors that practices make — it also profiles which specialties had the highest Part B error rates, as follows:

Specialty Error Rate

Chiropractic 47.4%
Allergy/immunology 42.6%
Private practice occupational therapist 21.0%
Radiation Oncology 19.4%
Clinical laboratory 19.2%
Psychiatry 19.2%
Infectious disease 17.7%
Neurology 17.7%
Private practice physical therapist 17.5%
Pulmonary disease 15.5%
General practice 15.4%
Internal medicine 14.9%
Clinical psychologist 14.4%
Pain management 14.0%