Understand CERT Findings - What Your Organization Should Be Monitoring?
Instructor:
Pamela Joslin
Product ID: 705791
Training Level: Basic to Intermediate
- Duration: 60 Min
Why Should You Attend:
The Medicare FFS Improper payment rate for 2017 was estimated at 36.2 billion dollars. The local Medicare Administrative Contractors (MAC)s are responsible for adjudicating claims based on Comprehensive Error Rate Testing (CERT) reviews and educating providers on the findings and top trends identified. Since 1996, CMS 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 CERT program is one of the programs created by CMS to assist in eliminating improper payments.
This webinar will educate you on the CERT process and how your organization can be proactive in identifying your improper payment categories by type, specialty and geographical location, how to respond to CERT medical record request and timelines for documentation submission and overall maintain compliance by implementing proper audit and monitoring practices.
Areas Covered in the Webinar:
- 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
Who Will Benefit:
- Compliance Officers
- CEO
- CFO
- Medical Practice Managers/Administrators
- Physicians
- Compliance Committees
- Revenue Cycle Management Professionals
- Billing and Coding Personnel
Pamela Joslin
Healthcare Consultant, Independent
Pamela Joslin has more than 20 years of medical practice management, billing and coding, auditing and compliance experience.
She is an engaging presenter via webinar, classroom and conference on every topic that may impact each step in the life of the revenue cycle of every practice.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 Master’s in Management from University of Phoenix. Pam maintains memberships in professional organizations to support her continuing cycle of learning in the ever-changing healthcare industry.
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