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Comprehensive Error Rate Testing (CERT)

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5
Your Price: $49.99
Part Number:0718AUDIT

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Comprehensive Error Rate Testing

July 3, 2018, 2pm ET

Speaker: Frank Cohen


CERT is a program that was started by the OIG in 1996 to study the rate of improper payments to healthcare providers. Every year, CMS collects tens of thousands of random claims submitted to the Medicare database and requests providers submit documentation to substantiate the payments made on those claims. The purpose is to determine whether the payment made to that provider was made in error due to any number of reasons reported within the study. For example, the payment may have been made to an ineligible recipient or for an ineligible service. Or maybe the documentation was insufficient to support the level of code or any code at all, for that matter. What’s important to know is that auditors, both public and private, rely upon the results of the CERT study in order to target specific procedure codes, specialties and even providers in specific locations for recoupment audits? The more you know about CERT and the study results, the better position you will be in when it comes to understanding


On Demand purchase includes webinar recording, session handouts, and post test. Webinar is for educational purposes only. No CEUs available.

5 Stars
Pathology Lead
The speaker did an excellent job of explaining CERT and drilling down into error rates by specialties. It really drives home the point to do internal audits in order to make sure errors found are addressed and that documentation supports the CPT codes.
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Reviewed by:  from KU Health System. on 7/9/2018
5
5 Stars
Coding Quality Auditor
Mr Cohen did a superb job of explaining CERT. I would certainly recommend this webinar .
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Reviewed by:  from Lakeland. on 7/3/2018
5
5 Stars
Outpatient Coder
I felt this was a great presentation. I would have even loved to have a screen shot of his example at the end, complete with his notes, which I appreciated, of the top 25 comparison (I'd have used it as a reference tool for me).
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Reviewed by:  from Tucson Medical Center. on 7/3/2018
5
5 Stars
Director of Physician Coding and Compliance
Mr. Cohen gave me answers to questions that I have long had regarding the Comprehensive Error Rate Testing program. I got answers to exactly what is CMS looking at with documentation, who they are looking at, as well as types of service. Mr. Cohen presentations are interesting, informational, and timely. He is extremely knowledgeable with statistics and able to put that information in a clear, concise, understandable format. Thoroughly enjoy all his webinars.
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Reviewed by:  from Frederick, MD. on 7/3/2018
5

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