Description

In this episode, Terry dives into the latest findings from the Centers for Medicare & Medicaid Services (CMS) regarding Evaluation and Management (E/M) services. According to the 2023 CERT (Comprehensive Error Rate Testing) data:

• Insufficient documentation led to 34% of improper payments
• No documentation accounted for 7.5%
• Incorrect coding was responsible for a staggering 52.4%
• Other errors made up the remaining 6.1%

Terry breaks down what these numbers mean for your practice and shares actionable strategies to reduce denials and improve compliance.

For more details, visit: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/medicare-provider-compliance-tips/medicare-provider-compliance-tips.html#OtherErrors

Subscribe and Listen

You can subscribe to our podcasts via:

• Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627
• Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX
• TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/
• YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg
• YouTube Music – https://www.youtube.com/playlist?list=PLQ8tk23yZroZslhtTVe-PEIjQsAoJZJIQ
• Pandora – https://www.pandora.com/podcast/codecast-medical-billing-and-coding-insights/PC:1000156874
• Amazon Podcasts – https://music.amazon.com/podcasts/c9d8dc99-fced-45a2-82b4-0efdf144c897/CodeCast-Medical-Billing-and-Coding-Insights
• iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

The post CMS E/M Improper Payment Report appeared first on Terry Fletcher Consulting, Inc..