Error Program Rate Testing
Contents |
Instructions for enabling “JavaScript” can be found here. Please note that if you choose to continue without enabling “JavaScript” certain functionalities on this
Comprehensive Error Rate Testing Program
website may not be available. Skip to Main Content Home - bit error rate testing Opens in a new window About CMS Newsroom FAQs - Opens in a new window Archive - bit error rate testing tutorial Opens in a new window Share Help Print Learn about your health care options Search CMS.gov Main Menu Medicare Medicaid/CHIP Medicare-Medicaid Coordination Private Insurance Innovation Center Regulations &
Comprehensive Error Rate Testing (cert)
Guidance Research, Statistics, Data & Systems Outreach & Education You are here: Home > Research, Statistics, Data and Systems > Medicare Fee-for-Service Compliance Programs > Comprehensive Error Rate Testing (CERT) > Comprehensive Error Rate Testing (CERT) Comprehensive Error Rate Testing (CERT) Background Information for Providers CERT Reports Additional Data Medicare FFS Jurisdiction Error Rate Contribution Data
Cms Comprehensive Error Rate Testing
Comprehensive Error Rate Testing (CERT) The Centers for Medicare & Medicaid Services (CMS) calculates the Medicare Fee-for-Service (FFS) improper payment rate through the Comprehensive Error Rate Testing (CERT) program. Each year, CERT evaluates a statistically valid random sample of claims to determine if they were paid properly under Medicare coverage, coding, and billing rules. The fiscal year (FY) 2015 Medicare FFS program improper payment rate is 12.1 percent, representing $43.3 billion in improper payments, compared to the FY 2014 improper payment rate of 12.7 percent or $45.8 billion in improper payments (1). The table below outlines the improper payment rate and projected improper payment amount by claim type for FY 2015. The reporting period for this improper payment rate is July 1, 2013 -June 30, 2014. Service Type Improper Payment Rate Improper Payment Amount (2) Inpatient Hospitals 6.2% $7.0B Durable Medical Equipment 39.9% $3.2B Physician/Lab/Ambulance 12.7% $11.5B Non-Inpatient Hospital Facilities 14.7% $21.7B Overall 12.1% $43.3B All public reports produced by the CERT program are available through
reserved. CPT is a registered trademark of the American Medical Association (AMA). You, your employees and agents are authorized to use test error rate in r CPT only as contained in the following authorized materials of Centers
Test Error Rate Regression Tree
for Medicare and Medicaid Services (CMS) internally within your organization within the United States for the medicare cert contractor sole use by yourself, employees and agents. Use is limited to use in Medicare, Medicaid or other programs administered by CMS. You agree to take all necessary steps https://www.cms.gov/cert to insure that your employees and agents abide by the terms of this agreement. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified http://www.wpsmedicare.com/j5macparta/departments/cert/ or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60654. Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt. Applicable FARS\DFARS Restrictions Apply to Government Use. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60654. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited ri
GovernanceChapters & SectionsHonors & Awards ProgramAPTA StaffJobs at APTAStrategic Business Partners Who We Are & What We DoAPTA represents more than 93,000 members: physical therapists, physical therapist assistants, and students of physical therapy.Other Popular Resources:- Member Directory- Annual http://www.apta.org/CERT/ Reports
Careers & Education Find JobsCourses & ConferencesAbout PT/PTA CareersCareer ManagementCareer DevelopmentFor Educators The APTA Learning Center is your starting point for personalized learning.Other Popular Resources: - Search for Courses- Events Calendar Practice & Patient Care Patient CarePractice AdministrationEvidence & ResearchLicensureScope of PracticeEthics & ProfessionalismLegal MattersPR & Marketing PTNow helps you put evidence into patient care.Other Popular Resources: - error rate ArticleSearch at PTNow- Patient Handouts- Supervision & Teamwork Payment Coding & BillingPrivate InsuranceMedicareMedicaidWorkers' CompensationVA & TRICAREHealth Care ReformPayment ReformInfo for Payers The MPPR/fee calculator calculates payment for each CPT code based on geographic location.Other Popular Resources: - Medicare Changes - ICD-10 - PQRS Advocacy Federal AdvocacyState AdvocacyTake ActionInvolvement OpportunitiesPT-PACFor Legislators Take action in seconds with the APTA Action app!Other error rate testing Popular Resources: - Federal Advocacy Forum- State Forum News & Publications Latest NewsPTJPT in MotionGuide to PT PracticeBlogsPodcastsSocial MediaOther PublicationsFor Media Subscribe to Friday Focus.Other Popular Resources:- PT in Motion News- Go Green- Subscriptions For the Public Prospective StudentsCurrent StudentsNew ProfessionalsPTAsEducators Join/RenewFind a PTAPTA CommunitiesRelated Organizations StoreLoginProfile Practice & Patient Care Patient Care Practice Administration Owning a Practice Tools for Managers Collaborative Care Compliance Direct Access Documentation EHR Innovations in Practice Peer Review Pro Bono Supervision & Teamwork Evidence & Research Licensure Scope of Practice Ethics & Professionalism Legal Matters PR & Marketing HomePractice & Patient CarePractice AdministrationComplianceComprehensive Error Rate Testing (CERT) Comprehensive Error Rate Testing (CERT) Patient Care Practice Administration Owning a Practice Tools for Managers Collaborative Care Compliance Direct Access Documentation EHR Innovations in Practice Peer Review Pro Bono Supervision & Teamwork Evidence & Research Licensure Scope of Practice Ethics & Professionalism Legal Matters PR & Marketing The Comprehensive Error Rate Testing (CERT) report is one of two reports conducted by the Centers for Medicare and Medicaid Services (CMS) to determine the nabe down. Please try the request again. Your cache administrator is webmaster. Generated Fri, 14 Oct 2016 15:10:47 GMT by s_wx1127 (squid/3.5.20)