Comprehensive Error Rate Testing

Did you know that Medicare’s improper payment rate is calculated annually via 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. For the twelve months ending June 30, 2013, the overall error rate was 12.7% amounting to $45.8 billion in improper payments. This is up significantly from the prior year rate of 10.1%.Read More