CMS has released results from its recent study on common billing mistakes by health care providers. Among the most common mistakes include unbundling – the practice of submitting claims by piecemeal to maximize reimbursements for tests and procedures that are required to be submitted together at a reduced cost. Other common mistakes are using the wrong diagnosis code to support an MRI and coding a subsequent Annual Wellness Visit improperly as an initial wellness visit.
The study also revealed that common forms of underbilling include coding for the wrong surgery and using a lower level of Evaluation and Management than the documentation supports.
More information on the study can be found at: Comprehensive Error Rate Testing (CERT).
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