The follow-up is an effort by CMS to calculate a more accurate Medicare fee-for-service error rate and reduce improper payments, according to the release.
CMS staff may ask providers for all necessary medical record documentation for claims they submitted to a Medicare administrative contractor that were reviewed under the CERT program. CMS says these efforts could change claims’ status from “improper payment” to “proper payment.”
Read the AAPC release on CERT.
Read more on CMS:
–New Website to Show Status of Medicaid RACs
–CMS: ICD-10 Expected to Cost $1.64B, Initially Increase Improper Coding
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