The below laboratory findings 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 second quarter of 2012.
Insufficient Documentation - 60% of total errors
ï Missing valid physician order or progress note supporting intent for diagnostic services (labs, x-rays)
Incorrect Coding - 32% of total errors
ï CBC with differential (85025) recoded to CBC without differential (85027) - physician did not indicate differential on order