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.
