Tag: CERT Error Rate

WASHINGTON – The CERT error rate for DMEPOS is 31.8% for 2020, an 0.8% increase compared to 2019, according to a recent report from Medicare.  Insufficient documentation is at the root of about 65% of errors, according to the “2020 Medicare Fee-For-Service Supplemental Improper Payment Data,” which reviewed claims from June 2018-June 2019.  Medical necessity represented a small percentage of errors. Other types of...

WASHINGTON - The CERT error rate for DMEPOS dropped to 39.1% in 2015 from an all-time high of 73.8% in 2010, but further improvements may be harder to come by.Industry stakeholders credit HME providers for doing a better job preventing errors due to technical issues, and the DME MACs for applying policies more consistently for the dramatic decrease in the error rate in five years.“A lot of the technical issues have been resolved,” said Wayne van Halem, president of the van Halem Group....