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.
This program will teach you to:
Who Should Attend
Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.
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.