The CMS Quarterly Compliance Newsletter is out and you should take a look - it's only 13 pages but gives us some insight into recent reviews and audits:
Annual Well Visit Reviews
CRNA findings
Underpayments
Overpayments
This is just a wonderful resource for all of us to review. here's the openning on the AWV CERT findings:
Auditor Finding:
The provider billed HCPCS Code G0438 (Initial Annual Wellness Visit) for the 2012 visit when the patient had already received the Initial Annual Wellness Visit on date of service March 25, 2011. This resulted in an overpayment
You can find the rest of the information on the following link:
Medicare Quarterly Provider Compliance
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