CMS E/M Improper Payment Report

CodeCast | Medical Billing and Coding Insights

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

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