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Medicare - Claims
Dataset
The dataset includes detailed information on Medicare FFS claims that underwent CERT medical review for the FY 2019 report period (claims submitted July 1, 2017 through June 30, 2018). These claims were used to calculate the FY 2019 Medicare FFS improper payment rate.
Tags fee-for-service improper payment comprehensive error rate testing cert medicare
API Docs
Created
December 30 2019
Views
1,016

Medicare - Claims
Dataset
The dataset includes detailed information on Medicare FFS claims that underwent CERT medical review for the FY 2018 report period (claims submitted July 1, 2016 through June 30, 2017). These claims were used to calculate the FY 2018 Medicare FFS improper payment rate.
Tags fee-for-service improper payment comprehensive error rate testing cert medicare
API Docs
Created
January 2 2019
Views
485

Medicare - Claims
Dataset
The dataset includes detailed information on Medicare FFS claims that underwent CERT medical review for the FY 2017 report period (claims submitted July 1, 2015 through June 30, 2016). These claims were used to calculate the FY 2017 Medicare FFS improper payment rate.
Tags fee-for-service improper payment comprehensive error rate testing cert medicare
API Docs
Created
March 12 2018
Views
2,053

Medicare - Claims
Dataset
The dataset includes detailed information on Medicare FFS claims that underwent CERT medical review for the FY 2016 report period (claims submitted July 1, 2014 through June 30, 2015). These claims were used to calculate the FY 2016 Medicare FFS improper payment rate.
Tags fee-for-service improper payment comprehensive error rate testing cert medicare
API Docs
Created
March 12 2018
Views
402

Medicare - Claims
Dataset
The dataset includes detailed information on Medicare FFS claims that underwent CERT medical review for the FY 2015 report period (claims submitted July 1, 2013 through June 30, 2014). These claims were used to calculate the FY 2015 Medicare FFS improper payment rate.
Tags fee-for-service improper payment comprehensive error rate testing cert medicare
API Docs
Created
March 12 2018
Views
334

Medicare - Claims
Dataset
The dataset includes detailed information on Medicare FFS claims that underwent CERT medical review for the FY 2014 report period (claims submitted July 1, 2012 through June 30, 2013). These claims were used to calculate the FY 2014 Medicare FFS improper payment rate.
Tags fee-for-service improper payment comprehensive error rate testing cert medicare
API Docs
Created
March 12 2018
Views
292

Medicare - Claims
Dataset
The dataset includes detailed information on Medicare FFS claims that underwent CERT medical review for the FY 2013 report period (claims submitted July 1, 2011 through June 30, 2012). These claims were used to calculate the FY 2013 Medicare FFS improper payment rate.
Tags fee-for-service improper payment comprehensive error rate testing cert medicare
API Docs
Created
March 12 2018
Views
215

Medicare - Claims
Dataset
The dataset includes detailed information on Medicare FFS claims that underwent CERT medical review for the FY 2012 report period (claims submitted July 1, 2010 through June 30, 2011). These claims were used to calculate the FY 2012 Medicare FFS improper payment rate.
Tags fee-for-service improper payment comprehensive error rate testing cert medicare
API Docs
Created
March 12 2018
Views
226

Medicare - Claims
Dataset
The dataset includes detailed information on Medicare FFS claims that underwent CERT medical review for the FY 2011 report period (claims submitted January 1, 2010 through December 31, 2010). These claims were used to calculate the FY 2011 Medicare FFS improper payment rate.
Tags fee-for-service improper payment comprehensive error rate testing cert medicare
API Docs
Created
March 12 2018
Views
283

Medicare
File or Document
The dataset includes detailed information on Medicare Fee-For-Service (FFS) claims that underwent CERT medical review for the FY 2011-2017 report periods (claims submitted January 1, 2010 through June 30, 2016.) These claims were used to calculate the FY 2011-2017 Medicare FFS improper payment rates. The 2011-2017 dataset column headers include: Part, what was billed (i.e., HCPCS Procedure Code, Type of Bill, or DRG), Provider Type, Error Code, and Review Decision.
Please refer to each years accompanying metadata
Tags fee-for-service improper payment comprehensive error rate testing cert medicare
Created
March 5 2018
Views
320
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