Comprehensive Error Rate Testing (CERT) is a CMS program that helps reduce improper payments in Medicare Fee-for-Service by finding coverage and coding errors. This 60-minute CERT audit training explains how the process works and what your organization should monitor.
CMS has run initiatives against improper payments since 1996, and the FFS improper payment amount for 2017 was estimated at $36.2 billion. You'll review improper payment categories, how CERT contractors audit Medicare Part B, how to respond to medical record requests and documentation deadlines, and how reviewers decide a MAC's payment was wrong.
You'll also see specialties with high error rates, local CERT training and how to compare rates by location.
If you know what CERT measures, you can audit yourself first. This session shows how to pick a statistical sample of your providers that mirrors CERT and track individual improper payment rates by type, specialty and location, so you can compare your practice with national figures.
It suits physicians, practice administrators, coding and billing organizations, compliance officers, CEOs, CFOs and chart auditors.
Physicians
Medical Practice Administrators/Managers
Medical Coding and Billing Organizations
Compliance Officers
CEO
CFO
Medical Billing Companies
Medical Chart Auditing professionals
If you know what CERT measures, you can audit yourself first. This session shows how to pick a statistical sample of your providers that mirrors CERT and track individual improper payment rates by type, specialty and location, so you can compare your practice with national figures.
It suits physicians, practice administrators, coding and billing organizations, compliance officers, CEOs, CFOs and chart auditors.
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 …
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