Which organization oversaw the implementation of the CERT Program?

Study for the Certified Revenue Cycle Specialist Test. Enhance your knowledge with flashcards and detailed questions. Prepare for your exam today!

The correct answer is that the Centers for Medicare & Medicaid Services (CMS) oversaw the implementation of the Comprehensive Error Rate Testing (CERT) Program. The CERT Program was developed to measure the accuracy of Medicare fee-for-service payments, determine the error rate for claim payments, and identify areas where education and outreach may be needed to improve billing practices and compliance.

CMS plays a crucial role in managing and administering Medicare and Medicaid programs, ensuring proper payment, and overseeing initiatives aimed at reducing improper payments. The CERT Program specifically aligns with CMS’s goals of maintaining the integrity of the Medicare system and ensuring that beneficiaries receive the correct payment for claims submitted. In summary, CMS is the organization that directly manages the CERT Program to monitor, report, and ultimately improve the accuracy of payments within the Medicare framework.

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