CodingIntel

Medical coding resources for physicians and their staff. CodingIntel was founded by consultant and coding expert Betsy Nicoletti.

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Analysis of 2018 CERT report: use these findings to educate and audit high risk codes

Recorded April 25, 2019

CMS releases a Comprehensive Error Rate Testing (CERT) report annually.  This report, prepared by an independent contractor, measures the error rate for fee-for-service claims.

This webinar will analyze errors for Part B payments and identify the types of services with the highest error rates and the reasons identified in the CERT report. The most common type of error is insufficient documentation, followed by incorrect coding.  Some types of procedures, however, were denied for medical necessity.

The report also includes improper payment rates for sampled specialties—see where your specialty ranks. This review will help practices identify potential deficiencies in their documentation. Medical practices can use this information to focus educational efforts and their own audit plans for the coming year.

Learning objectives

After the session, participants will be able to:

  • Identify services performed in their practice that have a high error rate in the CERT report
  • Describe the type documentation deficiencies that lead to errors
  • Develop an education and audit plan
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Last revised October 12, 2020 - Betsy Nicoletti

Looking for training on the new E/M Guidelines for 2021?

"Documentation Essentials for Codes 99202-99215 in 2021" is now available!

Take the two hour course on-demand, or sign up for one of our live events with Q&A.

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Our mission is to provide accurate, comprehensive, up-to-date coding information, allowing medical practices to increase revenue, decrease coding denials and reduce compliance risk. That's what coding knowledge can do.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions. For more about Betsy visit www.betsynicoletti.com.

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