Coding, Chart Documentation and Reimbursement - Thurston ...
Coding, Chart Documentation and Reimbursement - Thurston ...
Coding, Chart Documentation and Reimbursement - Thurston ...
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Service Type Billed to<br />
Part B (BETOS codes)<br />
<strong>Coding</strong>, <strong>Chart</strong> <strong>Documentation</strong> <strong>and</strong><br />
<strong>Reimbursement</strong><br />
Medicare CERT Errors<br />
Insufficient<br />
<strong>Documentation</strong><br />
Type of Error<br />
Medically<br />
Unnecessary<br />
Services<br />
Incorrect<br />
<strong>Coding</strong><br />
Other<br />
Hospital visit - initial 38.3% 0.0% 60.8% 0.2%<br />
Office visits – new 30.5% 2.1% 64.5% 2.3%<br />
Nursing home visit 51.6% 0.4% 44.1% 0.2%<br />
Hospital visit – subsequent 62.8% 0.0% 35.8% 0.0%<br />
Lab tests - other (non-<br />
Medicare fee schedule)<br />
66.4% 31.8% 0.3% 0.3%<br />
Chemotherapy 95.1% 4.6% 0.3% 0.0%<br />
Minor procedures - other<br />
(Medicare fee schedule)<br />
82.8% 12.4% 2.0% 1.1%<br />
Office visits – established 54.4% 0.5% 42.8% 0.8%<br />
Lab tests - other<br />
(Medicare fee schedule)<br />
62.5% 25.5% 11.9% 0.0%<br />
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