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?
WHY SHOULD YOU ATTEND?
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
AREA COVERED
​​​​​
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
LEARNING OBJECTIVES
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.
WHO WILL BENEFIT?
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
Speaker Profile
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 …
Upcoming Webinars
Managing Toxic & Other Employees Who Have Attitude Issues
Effective Onboarding: How to Welcome, Engage, and Retain Ne…
Analytical Method Validation Under Good Laboratory Practic…
Do's and Don'ts of Documenting Employee Behaviour, Performa…
Sunshine Act Reporting - Clarification for Clinical Research
Onboarding New Hires: Leverage the Potential of Artificial …
Do's and Don'ts of Giving Effective Feedback for Performanc…
Tattoos, hijabs, piercings, and pink hair: The challenges …
Using Behavior Based Interviewing for Finding the Best Matc…
How to Document Employee Discussions and Why it is Important
Project Management for HR, Administrative Professionals, an…
Stressed Out: How to Handle Conflict, Difficult People and …
Harassment, Bullying, Gossip, Confrontational and Disruptiv…
Marketing to Medicare or Medicaid Beneficiaries - What You …
Understanding the Artificial Intelligence Landscape
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 …
The Top Ten Excel Functions Everyone Should Know
Ultimate Persuasion Strategies! - Secret Influence Tools & …
Clinical Trial Systems: The Trial Master File (TMF) and Ele…
Dealing With Difficult People In Life & Work
Improving Employee Engagement & Retention Through Stay Inte…
Fair Lending in Q2 2024: new regulations, examinations, and…
FDA Regulation of Artificial Intelligence/ Machine Learning
Form 1099 Update 2024: Latest Forms, Rules and Reporting Re…
Coming Soon - New Minimum Salary Levels for Exempt Employee…
Beyond ‘Illegal’ Interview Questions: What Recruiters & Hir…
Bootcamp for New Managers and Supervisors: Avoid These 7 Mi…
Writing Techniques for Auditors and Risk Management Profess…
Coaching & Retaining Your Talent – Putting the WOW into Qua…
Outlook - Master your Mailbox - Inbox Hero Inbox Zero
Emotional Intelligence: Mastering the Emotions of Great Lea…
Building Fair Chance Hiring Policies in 2024
Effectively Handle Toxic People for Better Productivity and…
Third-Party Relationships: Risk Management: What All Bankin…
HR 101 - Bootcamp Basics for New Human Resource Professiona…
How to Manage and Resolve Conflict in the Workplace
Impact Assessments For Supplier Change Notices
Performance Management with Bottom-Line Results
How to Give Corrective Feedback: The CARE Model - Eliminati…
Human Error Reduction Techniques for Floor Supervisors
Credit Risk Discipline Tools - Implementing 14 Tools for Cr…
FDA Compliance And Laboratory Computer System Validation