Datasets / Comprehensive Error Rate Testing (CERT)


Comprehensive Error Rate Testing (CERT)

Published By U.S. Department of Health & Human Services

Issued almost 10 years ago

US
beta

Summary

Type of release
a one-off release of a set of related datasets

Data Licence
Not Applicable

Content Licence
Creative Commons CCZero

Verification
automatically awarded

Description

The Centers for Medicare and Medicaid Services (CMS) implemented the Comprehensive Error Rate Testing (CERT) program to measure improper payments in the Medicare fee-for-service (FFS) program. The Department of Health and Human Services (HHS) Office of Inspector General (OIG) estimated the Medicare FFS error rate from 1996 through 2002. The OIG designed its sampling method to estimate a national Medicare FFS paid claims error rate. Due to the sample size approximately 6,000 claims the OIG was unable to produce error rates by contractor type, specific contractor, service type, or provider type.