So, why is the Comprehensive Error Rate Testing (CERT) important? Simply stated: to reduce payment errors in the Medicare Fee for Service Program.
Since 1996, Centers for Medicare and Medicaid (CMS) has implemented several initiatives to prevent improper payments. CMS' goal is to reduce payment errors by identifying and addressing billing errors concerning coverage and coding. The Comprehensive Error Rate Testing (CERT) program is one of the programs created by CMS to assist in eliminating improper payments.
The Medicare Fee For Service (FFS) Improper payment rate for 2017 was estimated at 36.2 billion dollars. Is your organization aware of the categories of improper payments audited by CMS and CERT so you can be proactive in resolving before they are sent to the carrier?
This webinar will help Identify a process to select your provider’s statistical sampling of that mirrors what CERT measures so you can audit yourself before they do.
Empowered with new knowledge on the CERT process, the organization can be more proactive in identifying the improper payment categories to maintain compliance.
Develop process to identify your provider individual improper payment rates categorized by type, specialty and geographical location. Great opportunity to see how your practice measures up to these national stats
​​​​​
Introduction to CERT Process
Review improper payment categories
How to respond to CERT medical record requests
Recognize the CERT timelines for documentation submission
Learn about local opportunities for training offered by CERT
Take a look at specialties with high error rates for improper payments
Track improper payment rates by your geographical location
Opportunity to create or fine-tune your auditing/monitoring process
This webinar will introduce you to
The CERT process and what categories of improper payment categories your organization should be monitoring.
How Comprehensive Error Rate Testing (CERT) contractors audit Medicare Part B by auditing you.
Be more confident when responding to a CERT request.
Be more aware of how the CERT reviewer determines that a MAC’s payment decision was incorrect.
Connect the role of your local Medicare Administrative Contractors (MAC)s and their responsibility for adjudicating claims based on Comprehensive Error Rate Testing (CERT) reviews.
See how your specialty measures geographically with the CERT annual report.
Physicians
Medical Practice Administrators/Managers
Medical Coding and Billing Organizations
Compliance Officers
CEO
CFO
Medical Billing Companies
Medical Chart Auditing professionals
This webinar will help Identify a process to select your provider’s statistical sampling of that mirrors what CERT measures so you can audit yourself before they do.
Empowered with new knowledge on the CERT process, the organization can be more proactive in identifying the improper payment categories to maintain compliance.
Develop process to identify your provider individual improper payment rates categorized by type, specialty and geographical location. Great opportunity to see how your practice measures up to these national stats
​​​​​
Introduction to CERT Process
Review improper payment categories
How to respond to CERT medical record requests
Recognize the CERT timelines for documentation submission
Learn about local opportunities for training offered by CERT
Take a look at specialties with high error rates for improper payments
Track improper payment rates by your geographical location
Opportunity to create or fine-tune your auditing/monitoring process
This webinar will introduce you to
The CERT process and what categories of improper payment categories your organization should be monitoring.
How Comprehensive Error Rate Testing (CERT) contractors audit Medicare Part B by auditing you.
Be more confident when responding to a CERT request.
Be more aware of how the CERT reviewer determines that a MAC’s payment decision was incorrect.
Connect the role of your local Medicare Administrative Contractors (MAC)s and their responsibility for adjudicating claims based on Comprehensive Error Rate Testing (CERT) reviews.
See how your specialty measures geographically with the CERT annual report.
Physicians
Medical Practice Administrators/Managers
Medical Coding and Billing Organizations
Compliance Officers
CEO
CFO
Medical Billing Companies
Medical Chart Auditing professionals
Pamela Joslin
Pam Joslin, MM, CMC, CMIS, CMOM, CMCO, CEMA, CMCA-E/M has more than 20 years of medical practice management, billing and coding, reimbursement, auditing and compliance experience.She is an engaging presenter via webinar, classroom and conference on various topics that may impact the revenue cycle of every practice and maintaining compliance.She has managed in medical practices ranging from single to multi-specialty groups, including ASC. She is an advocate of process improvement and maximizing and empowering employees to bring about the "best practice” results for your organization.She received her Masters in Management from University of Phoenix. Pam maintains memberships in professional organizations …
Conflict Resolution - Prevent, De-escalate, Resolve
When Employees Travel: Wage and Expense Rules Employers Mus…
Female to Female Hostility @Workplace: All you Need to Know
With Mandatory Paid Leave Gaining Ground Is It Time To Do A…
Implementing an Effective Human Error Reduction Program
Validation Statistics for Non-Statisticians
Form 1099-MISC and 1099-NEC Compliance Update 2024
GAMP5, Second Edition and Alignment with Computer Software …
Why EBITDA Doesn't Spell Cash Flow and What Does
Project Management for Non-Project Managers - Scheduling yo…
The Totally Organized Professional Is All About Outcomes
Understanding the Math of HR… So You Can Show How HR Impact…
Sunshine Act Reporting - Clarification for Clinical Research
Re-imagine Finance & Accounting Made Simple. Three Webinars…
FFIEC BSA/AML Examination Manual: What Compliance Officers …
How to Address ISO's New Climate Change Requirements
I-9 Audits: Strengthening Your Immigration Compliance Strat…
Stay Interviews: A Powerful and Low-Cost Employee Engagemen…
How To Conduct An Internal Harassment And Bullying Investig…
Effective Onboarding: How to Welcome, Engage, and Retain Ne…
Managing Toxic & Other Employees Who Have Attitude Issues
Analytical Method Validation Under Good Laboratory Practic…
Do's and Don'ts of Documenting Employee Behaviour, Performa…
Do's and Don'ts of Giving Effective Feedback for Performanc…
Onboarding New Hires: Leverage the Potential of Artificial …
Project Management for HR, Administrative Professionals, an…
Tattoos, hijabs, piercings, and pink hair: The challenges …
How to Document Employee Discussions and Why it is Important
Using Behavior Based Interviewing for Finding the Best Matc…
Stressed Out: How to Handle Conflict, Difficult People and …
Harassment, Bullying, Gossip, Confrontational and Disruptiv…
Understanding the Artificial Intelligence Landscape
Marketing to Medicare or Medicaid Beneficiaries - What You …
Best Practices for Working With Vendors and Suppliers
Accounting For Non Accountants : Debit, Credits And Financi…
Principles & Practices for the Cybersecurity of Legacy Medi…
Independent Contractor vs. Employee New Rule Issued by The …
Ultimate Persuasion Strategies! - Secret Influence Tools & …
Kicking your Employee Retention Efforts into Overdrive: Sta…