CERT Documentation Contractor (CDC) Analysis of Tech Stops
Once a claim has been selected as part of the random sample the CDC requests medical records for review. Upon receipt of the medical records the CERT Review Contractor (CRC) nurse reviewers check the documents to confirm that all of the correct documents have been sent in by the provider.
In order to help providers understand what information is missing or flawed and the frequency of that information the CDC conducted a random review of approximately 80 tech stops for Part B (a tech stop is a request for additional documentation). The chart listed below was created by the CDC detailing the type of errors in document submission.
Description |
Total Number Observed |
Hospital Notes |
24 |
Office Notes |
23 |
X-rays, EKG,Ultrasound |
8 |
Physical Therapy |
7 |
Lab Reports |
5 |
Medications/injections |
4 |
Ambulance |
2 |
Medical Necessity |
2 |
Chiropractor |
1 |
Nail Debridement |
1 |
Chemotherapy |
1 |
Level of Service |
1 |
Total |
79 |
