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Posting Date: 10/07/2010
Selecting the Appropriate Principal Diagnosis for Inpatient Services
Selecting the Appropriate Principal Diagnosis for Inpatient Services CERT analysis indicates providers are not coding the principal diagnosis to the highest level of specificity and/or selecting the most appropriate code for the inpatient [...]
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Posting Date: 01/29/2021
Complete Blood Count with Differential CPT Code 85025
Complete Blood Count with Differential CPT Code 85025 Error code 31 services incorrectly coded have been increasing in relation to CPT code 85025 - Complete blood count with differential (CBC w/Diff). Review of the CERT data shows that the [...]
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Posting Date: 01/29/2021
Evaluation and Management Codes
Evaluation and Management Codes E/M services are the most common CERT errors found with Medicare Part B claims. The medical records that were provided either do not support the level of service billed or do not indicate the service was [...]
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Posting Date: 01/29/2021
Diagnosis-Related Group Claims Reviewed for IPPS Providers
Diagnosis-Related Group Claims Reviewed for IPPS Providers This notice is intended to educate IPPS providers on the CERT program findings for DRG claims reviewed. Trending analysis disclose that the top errors are related to medical necessity [...]
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