What is the primary goal of Comprehensive Error Rate Testing (CERT) regarding Medicare claims?

The primary goal of Comprehensive Error Rate Testing (CERT) is to monitor the accuracy of claim payments. This program, implemented by the Centers for Medicare & Medicaid Services (CMS), focuses on calculating the error rates in Medicare claims to ensure that payments made are appropriate and justified according to established guidelines. By assessing the accuracy of these claims, the CERT program helps identify areas where improvements can be made to reduce incorrect payments, enhancing the overall integrity of the Medicare system. This monitoring is crucial for maintaining the reliability of Medicare services, ensuring that beneficiaries receive the correct benefits and that taxpayer funds are utilized efficiently. This focus on payment accuracy is fundamental in supporting the financial sustainability of the Medicare program.