The CERT Program

The CERT Program

What It Is and What a Practice Needs to Know The Comprehensive Error Rate Testing (CERT) program is a crucial component of the Medicare program that helps ensure the government is paying only for the services and care that beneficiaries actually receive. The program...
Comparative Billing Reports (CBRs)

Comparative Billing Reports (CBRs)

What Are They, and What Do We Do With Them? CMS (Centers for Medicare and Medicaid) is always implementing various programs and initiatives aimed at reducing fraud, waste, and abuse. One such initiative is Comparative Billing Reports (CBRs). In this article, an...

Telehealth and the OIG Work Plan

The pandemic and the public health emergency (PHE) it brought along with it, have changed how health care is delivered.  Commercial payors have been more amenable to paying for telehealth services in prior years.  Due to the pandemic, CMS decided to relax its...
2021 E/M Changes: Are You Ready?

2021 E/M Changes: Are You Ready?

The last big change for Evaluation and Management (E/M) coding was in 2010 when Medicare stopped accepting consultations. Not since 1997 have the guidelines gone through such a big adjustment. Due to the pandemic, though, many practices are not prepared for this...
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