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
From Challenges to Compliance: Understanding Dietary Supple…
How To Conduct An Internal Harassment And Bullying Investig…
Improving Employee Engagement & Retention Through Stay Inte…
Using Behavior Based Interviewing for Finding the Best Matc…
Leadership: Strategic Planning and Decision Making
The Anti-Kickback Statute: Enforcement and Recent Updates
Do's and Don'ts of Documenting Employee Behaviour, Performa…
De-Stressing Your Leadership for Greater Impact
Emotional Intelligence: Mastering the Emotions of Great Lea…
Bootcamp for New Managers and Supervisors: Avoid These 7 Mi…
How to Conduct Exit Interviews - Implementing and Enhancing…
Coming Soon - New Minimum Salary Levels for Exempt Employee…
Utilizing HR Metrics to Illustrate & Improve Human Resource…
Pivot tables beginner to advanced + 20 advanced Pivot table…
Finance & Accounting 101 Simplified
Understanding How To Write A Compliant CAPAs
Mastering the Candidate Experience in Talent Acquisition.
4-Hour Virtual Seminar on Transformational Leadership - The…
Uplifting the Credibility of HR: How to Build the Credibili…
Treasury Risk Management, Funding, Liquidity, Interest Rate…
Courts No Longer Have to Give Deference to Agency’s “Expert…
21 CFR Part 820 - Quality System Regulation - Applying Prin…
Building Fair Chance Hiring Policies in 2024
HIPAA Bootcamp for Health Care Providers, Professionals, an…
Building GMP Excellence: A Guide to Implementing Compliant …
FDA Technology Modernization Action Plan (TMAP) and Impact …
Weathering the Storm: Navigating Resource Constrained Waters
How to Survive an Emotionally Toxic Workplace
21 CFR Part 11 - Compliance for Electronic Records and Sign…
Excel Power Skills: Master Functions, Formulas, and Macros …
How to Give Corrective Feedback: The CARE Model - Eliminati…
SOPs - How to Write Them to Satisfy those Inspectors
2-Hour Virtual Seminar on the 6 Most Common Problems in FDA…
Understanding the Artificial Intelligence Landscape
Employee Handbook Requirements for 2024. Includes Updated F…
Essential Job Functions According to the American with Disa…
Stay Interviews: A Powerful and Low-Cost Employee Engagemen…
FDA Audit Best Practices - Do's and Don'ts
Engineering Change Management (ECM)
Batch Record Review and Product Release
Workplace Investigations 101: How to Conduct your Investiga…