Comprehensive Error Rate Testing

What will you be expected to do if YOUR office claim is selected as part of the CERT sample?  How can you avoid errors and problems? 

Medical documentation errors fall into five categories:

• No documentation - you didn't supply the requested documentation
• Insufficient documentation - your documentation didn't include all pertinent patient facts
• Medically unnecessary service - services you billed were not medically necessary based on Medicare coverage policies (local or national)
• Incorrect coding - your documentation supports a lower or higher code than code submitted on the claim
• Other - service not rendered, duplicate payment, not covered or allowable service, etc.

What you can do to avoid errors?

1. Submit requested documentation to the address identified in the letter within the timeframe identified in the document request letter.
2. For all services you perform, maintain documentation that clearly identifies

   Who?	Performing, supervising & referring provider, as applicable
   What?	Specific serivce(s) performed
   How many?	Quantity/frequency of service(s) performed
   Where?	Place of service
   Whhy?	Medical necessity and diagnosis

Visit First Coast Service Options, Inc. (medicare.fcso.com), a CMS-Contracted Medicare Administrative Contractor for more information and help in understanding the requirements of Medicare coverage, medical necessity, and documentation. 

Lake-Sumter Community College, a Staffing Resource for Your Practice,

Has Graduates Ready to Join Your Team and Interns Ready to Learn On-Site

It's pretty obvious that new college graduates are enthusiastic and motivated. They're ready and eager to be mentored into the type of employees that organizations need and desire.

LSCC’s programs in Medical Office Management, Health Information Management, and Medical Coding & Billing prepare students to hit the ground running, with degrees and certificates in the following areas of non-clinical medical practice:

●         AAS Degree in Office Administration-Medical Office Management Specialization

●         Certificate in Medical Office Management 

●         AAS Degree in Health Information Management

●         Certificate in Medical Information Coding and Billing

●         Certificate in Health Informatics Specialist COMING SOON!

All of these programs require on-site internships, and monitored real-time practice in a clinical setting, which is why I’m writing you. 

LSCC students are required to take Medical Terminology, Medical-legal Aspects of Health Records (includes all aspects of HIPAA, fraud & abuse and ethics); Foundations of Health Information Management; and, Medical Office Management (theories and case studies in practice administration, plus hands-on practice management software with Electronic Health Record  interface  exercises).  Both degree programs, in addition to general education courses and the courses above, require EHRs & Informatics.  Be sure to watch for our Student “Mock” Health Information Technology Products Vendor Fair this fall.

Please, email Brandy Ziesemer at ziesemerb@lscc.edu to ask about recent graduates available to hire and future internship students in transcription and medical coding & billing.  Also, please add our website www.lscc.edu/him to your “Favorites“ list.