Which program measures improper payments across various settings for Medicare?

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The Comprehensive Error Rate Testing (CERT) program is specifically designed to measure improper payments in the Medicare program. It assesses the accuracy of claims and identifies the frequency of errors that occur in the payment process. CERT reviews a statistically valid sample of Medicare claims to evaluate whether payments were made correctly and to report the overall improper payment rate. This program is crucial for ensuring the integrity of the Medicare system and for identifying areas where improvements are needed to reduce errors in payment claims.

Other programs listed may focus on related areas but do not specifically measure improper payments across various settings for Medicare. For instance, the Fraud Detection Program is primarily aimed at identifying and preventing fraudulent activities rather than systematically measuring improper payments. The Medicaid Integrity Program focuses on ensuring the integrity of Medicaid services, and the Quality Improvement Program typically centers on improving healthcare quality rather than auditing payment processes.

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