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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.
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Tags comprehensive error rate testing cert medicare improper payment fee-for-service
API Docs
Updated
July 5 2018
Views
797

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
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Tags improper payment medicare fee-for-service cert comprehensive error rate testing
Updated
March 5 2018
Views
142

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.
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Tags comprehensive error rate testing cert fee-for-service improper payment medicare
API Docs
Updated
July 5 2018
Views
112

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.
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Tags comprehensive error rate testing medicare cert fee-for-service improper payment
API Docs
Updated
July 5 2018
Views
89

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.
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Tags comprehensive error rate testing medicare cert improper payment fee-for-service
API Docs
Updated
July 5 2018
Views
55

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.
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Tags comprehensive error rate testing cert medicare fee-for-service improper payment
API Docs
Updated
July 5 2018
Views
52

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.
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Tags medicare improper payment cert comprehensive error rate testing fee-for-service
API Docs
Updated
July 5 2018
Views
48

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.
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Tags fee-for-service comprehensive error rate testing improper payment cert medicare
API Docs
Updated
July 5 2018
Views
45

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.
More Less
Tags cert medicare fee-for-service improper payment comprehensive error rate testing
API Docs
Updated
January 16 2019
Views
11
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