CERT Error Summary 3rd Qtr 2011

The below findings for laboratory billing are reported based on the type of documentation, coding, or billing error assessed by the CERT Contractor. WPS Medicare received error findings in the following categories during the third quarter of 2011. Insufficient Documentation – 70% of total errors • Missing valid physician order/notes documenting intent and/or medical necessity for diagnostic services • Illegible or missing provider signature on physician order or progress notes Medically Unnecessary Service or Treatment – 4% of total errors • Blood draw denied as related to labs which were missing a valid physician order or progress note supporting intent

Source: https://www.wpsgha.com