decisionhealth Newsletters, Part B News - 2009 Issue 5 (May)
No mid-year CERT in 2009
Subscribe or sign in to view the full article.
Article Overview
This article explains why CMS skipped the 2009 mid-year Comprehensive Error Rate Test (CERT) report and how OIG findings prompted a review of the methodology used to calculate improper payment rates. It is relevant to Medicare billing and compliance professionals who monitor error-rate reporting, medical review practices, and policy updates affecting CERT results. The piece also outlines the agency’s planned timing for the next report and the broader policy review underway.
Why This Topic Matters
Changes to CERT reporting and review methodology can affect how improper payment rates are measured and understood across Medicare claims review programs, making this important for compliance, audit, and reimbursement monitoring.
What You Will Learn
- Why CMS paused a scheduled mid-year CERT report
- How OIG findings influenced CMS’s review of its error-rate methodology
- What kinds of Medicare claims review issues were discussed in connection with DME
- How CMS framed its plans for future CERT reporting and policy clarification
Who Should Read This
- Medical coders
- Billing specialists
- Compliance officers
- Revenue cycle professionals
- Medicare claims auditors
- Durable medical equipment suppliers
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com