Decode CERT Findings to Discover What You Should Be Monitoring

Event Information
Product Format
Live Webinar
Conference Date
Add to my calendar   Tue, Oct 16, 2018
Aired Time
1 pm ET | 12 pm CT | 11 am MT | 10 am PT
60 minutes
Product Description

Get Ahead of the Claims Game—and Reduce Denials

The Centers for Medicare & Medicaid Services (CMS) created the Comprehensive Error Rate Testing (CERT) program to help eliminate improper payments for Medicare Fee for Service (FFS) claims. But did you know that CERT can be both a friend and a foe?

Sure, CERT is rooting out payment errors in your claims, but you can utilize CERT’s data and improper payment categories to actually improve your claims and reduce denials. Learn how in this information-packed webinar by healthcare compliance expert Pamela Joslin.

The Medicare FFS improper payment rate for 2017 was estimated at a whopping $36.2 billion. Avoid trouble—even before you send claims to the carrier—by understanding which categories of improper payments CMS and CERT audits. Learn how to prioritize your active monitoring efforts, and you’ll be well positioned to avoid costly denials and audits.

This instructive session will give you a solid understanding of the CERT process, including CERT contractor audits, post-payment denial, as well as the process by which a CERT reviewer requests an adjustment to an incorrect payment. You will walk away with the tools and knowledge to use statistical sampling that mirrors what CERT measures—so you can audit yourself before the feds do! You’ll also know how to review your claims to ensure they comply with Medicare coverage, coding, and billing rules.

Session Highlights

This program will teach you to:

  • Get a handle on the CERT process and review improper payment categories
  • Respond CERT medical record requests
  • Understand CERT timelines for submitting documentation
  • Identify the specialties with high error rates for improper payments
  • Track payment rates by your geographic location
  • Seek out local opportunities for CERT-provided training
  • Create or fine-tune your auditing and monitoring processes.
  • Proactively identify your improper payment categories to maintain compliance

Who Should Attend

  • Physicians
  • Medical Practice Administrators/Managers
  • Medical Coding and Billing Organizations
  • Compliance Officers
  • CEOs
  • CFOs
  • Medical Billing Companies
  • Medical Chart Auditing professionals

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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About Our Speaker

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 each step in the life of the revenue cycle of every practice.


She has managed in medical practices ranging from...   More Info
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