Claims review programs

CMS established the Comprehensive Error Rate Testing (CERT) program to monitor and report the accuracy of Medicare fee-for-service (FFS) payments. The CERT program measures the error rate for claims…

CMS established the Comprehensive Error Rate Testing (CERT) program to monitor and report the accuracy of Medicare fee-for-service (FFS) payments. The CERT program measures the error rate for claims…

Read the December edition of the CERT Insider's Guide to learn more about the CERT program and the improper payment rate calculation.

Read the December edition of the CERT Insider's Guide to learn more about the CERT program and the improper payment rate calculation.

Here are the Comprehensive Error Rate Testing (CERT) top denial reasons for Skilled Nursing Facility (SNF) reviews.

Here are the Comprehensive Error Rate Testing (CERT) top denial reasons for Skilled Nursing Facility (SNF) reviews.

This article has resources available for verifying the status of your CERT review.

This article has resources available for verifying the status of your CERT review.

Read the Part A first quarter edition of the CERT Insider's Guide to learn more about claim errors assessed during the CERT review process and ways to mitigate these errors in the future.

Read the Part B first quarter edition of the CERT Insider's Guide to learn more about claim errors assessed during the CERT review process and ways to mitigate these errors in the future.