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

Marketing to Medicare or Medicaid Beneficiaries - What You …

Effective Onboarding: How to Welcome, Engage, and Retain Ne…




Employee Engagement, Empowerment and Motivation in Challeng…

Six Thinking Hats - Structuring Creative Thinking (Paralle…

Managing International Employee Payroll & Tax Services

2023 EEOC and Employers: Investigating Harassment and Discr…

Being Seen as a Human Resource Strategic Business Partner


Delivering Constructive Criticism - Best Practices

3-Hour Excel Automation Boot Camp: Top Ten Excel Functions …

How to Effectively Conduct Annual Employee Reviews

Self Esteem Matters: An Ethics Based Webinar for Women


New Ideas and Tools for Effective Performance Management 20…

Accounting For Non Accountants : Debit, Credits And Financi…


Effectively Handling CP 2100 letter and B Notices

Supervising a Human Error Free Environment: You can do a Lo…

Basic Accounting and Finance for the Human Resources Profes…

Compliance with Stop Payments vs Unauthorized Transactions

Finally! The New I-9 Form and The Extension of the DHS Remo…

The Most Frequent 483's for Medical Device Companies in 2022

CAPA/Root Cause Analysis: Achieving Compliance with Proper …

Secrets Of Psychology - Why People Do The Things They Do

Remaining Agile in an Ever-Changing Climate

Project Management for administrative professionals

4-Hour Virtual Seminar on FMLA BOOTCAMP: Managing Complianc…

Human Factors Usability Studies Following ISO 62366 and FDA…


Calculating Paychecks 2023 - Getting To Gross And Beyond

Succession Planning for Sustainable Small and Family Busine…