CERT Report Findings To Bring More Claims Scrutiny

November 2010
Eli's Home Care Week;2010, Vol. 19 Issue 41, p326
The article reports on the findings of the Comprehensive Error Rate Testing (CERT) issued by the U.S. Centers for Medicare & Medicaid Services (CMS) on Medicare payment error rate of 10.5% for fiscal year 2010. It states that the error rate depicts 34.3 billion U.S. dollars in improper payments which was due to insufficient documentation and unnecessary services. It notes the issues on Medicare's new therapy reassessment requirement, medical equipment suppliers, and home health agencies (HHAs).


Related Articles

  • Diagnosis Codes Slated For Elimination No Longer Predict Costs, CMS Says.  // Eli's Home Care Week;7/18/2011, Vol. 20 Issue 26, p202 

    The article presents information given by the U.S. Centers for Medicare and Medicaid Services (CMS) that the diagnosis codes were planned to be eliminated but they are no longer predictors of higher home health patient resource costs.

  • If You Haven't Started CAHPS, Expect Pay Reductions In A Year.  // Eli's Home Care Week;2010, Vol. 19 Issue 40, p317 

    The article reports that the request of Home Health Agencies (HHAs) for the delay of Consumer Assessment of Healthcare Providers and System requirement (CAHPS) was disapproved by the U.S. Centers for Medicare and Medicaid Services (CMS). It states that two percent cut in 2012 will be seen by...

  • Health Care Spending to Double By 2016.  // HomeCare Magazine;Mar2007, Vol. 30 Issue 3, p10 

    The article reports on the increase of U.S. health care spending by 2016 and home health care is the fastest-growing sector. Health spending will remain relatively steady from 2007 forward, according to a report from Centers for Medicare and Medicaid Services' National Health Statistics Group...

  • CMS sees 2.2% update for home health.  // Medical Device Daily;8/3/2009, Vol. 13 Issue 147, p7 

    The article reports on a market basket update of 2.2% proposed by the U.S. Centers for Medicare & Medicaid Service (CMS) for home health services for calendar year 2010. It is also examining rules to cut down on fraud and abuse. The July 30, 2009 statement of CMS stated that the agency wanted to...

  • VITAL STATISTICS.  // Modern Healthcare;2010/2011 Supplement, p58 

    The article presents statistics on healthcare in the U.S., including the rank of the U.S. in terms of health system performance, the health spending as a percentage of gross domestic product (GDP) in 2008 and the national healthcare expenditure in 2008.

  • Medicare issues home health PPS notice.  // Hospice Management Advisor;Jan2009, Vol. 14 Issue 1, p12 

    The article reports that the Centers for Medicare & Medicaid Services (CMS) issued a notice to update the Home Health Prospective Payment System (HH PPS) for the year 2009. Under the notice, medicare payments to home health agencies will increase by an estimated additional $30 million next year...

  • 2.3% Pay Cut Hits Freestanding For-Profits Hardest In 2012.  // Eli's Home Care Week;11/7/2011, Vol. 20 Issue 39, p306 

    The article reports on the decline of Medicare payment rates for home health agencies by 2.3% in the U.S. starting January 1, 2012. The Centers for Medicare & medicaid Services (CMS) estimated the cut by reducing the 2.4% inflation update by 1% as mandated by law and added a 3.79% cut for the...

  • Keeping Home Health Care Patients Home. Smith, Scott D. // Minnesota Medicine;Oct2008, Vol. 91 Issue 10, p22 

    The article reports on the idea of the U.S. Centers for Medicare and Medicaid Services to implement its home health quality-improvement initiative, the National Home Health Quality Improvement Campaign, across the country. The campaign is said to be focused on reducing the hospitalization rate...

  • Standardize Financial Info With New Cost Reporting Guidelines.  // Eli's Home Care Week;6/18/2012, Vol. 21 Issue 22, p171 

    The article discusses the standardized financial data and new cost reporting guidelines from the Home Care & Hospice Financial Managers Association (HHFMA). The association claims that creating uniformity in financial reporting of medical care costs will allow accurate data collection and...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics