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Review of Providers' Responsiveness to Requests for Medical Records Under the Comprehensive Error Rate Testing Program

Issued on  | Posted on  | Report number: A-01-04-00517

Report Materials



EXECUTIVE SUMMARY:

Our review, conducted in response to congressional concerns, determined that Centers for Medicare and Medicaid Services has made excellent progress in obtaining medical records by reducing the provider nonresponse rate to less than 1 percent of the number and dollar value of claims included in the Comprehensive Error Rate Testing (CERT) FY 2004 sample.  We do not believe that the remaining nonresponses will have a significant effect on the reliability of CMS's estimate of the Fiscal Year 2004 Medicare fee-for-service paid claims error rate.  Our report discusses reasons cited by providers for the nonresponses.

Report Type
Audit
HHS Agencies
Centers for Medicare and Medicaid Services
Issue Areas
-
Target Groups
-
Financial Groups
-

Notice

This report may be subject to section 5274 of the National Defense Authorization Act Fiscal Year 2023, 117 Pub. L. 263.