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    • Medicare Fee-for-Service Comprehensive Error Rate Testing

    Metadata Updated: October 30, 2025

    The Medicare Fee-for-Service (FFS) Comprehensive Error Rate Testing (CERT) dataset provides information on a random sample of FFS claims to determine if they were paid properly under Medicare coverage, coding, and payment rules. The dataset contains information on type of FFS claim, Diagnosis Related Group (DRG) and Healthcare Common Procedure Coding System (HCPCS) codes, provider type, type of bill, review decision, and error code.

    Please note, each reporting year (RY) contains claims submitted July 1 two years before the report through June 30 one year before the report. For example, the 2024 data contains claims submitted July 1, 2022 through June 30, 2023.

    Access & Use Information

    Public: This dataset is intended for public access and use. License: See this page for license information.

    Downloads & Resources

    References

    http://data.cms.gov/resources/medicare-fee-for-service-comprehensive-error-rate-testing-improper-payment-data-methodology

    Dates

    Metadata Created Date October 7, 2025
    Metadata Updated Date October 30, 2025
    Data Update Frequency R/P1Y

    Metadata Source

    Harvested from Healthdata.gov

    Other Data Resources

    Additional Metadata

    Resource Type Dataset
    Metadata Created Date October 7, 2025
    Metadata Updated Date October 30, 2025
    Publisher Centers for Medicare & Medicaid Services
    Maintainer
    Identifier http://data.cms.gov/data-api/v1/dataset/6395b458-2f89-4828-8c1a-e1e16b723d48/data-viewer
    Data First Published 2025-10-07
    Language en-US
    Data Last Modified 2025-10-28
    Category Medicare
    Public Access Level public
    Data Update Frequency R/P1Y
    Bureau Code 009:38
    Metadata Context https://project-open-data.cio.gov/v1.1/schema/catalog.jsonld
    Metadata Catalog ID https://healthdata.gov/data.json
    Schema Version https://project-open-data.cio.gov/v1.1/schema
    Catalog Describedby https://project-open-data.cio.gov/v1.1/schema/catalog.json
    Data Quality True
    Data Dictionary http://data.cms.gov/resources/medicare-fee-for-service-comprehensive-error-rate-testing-improper-payment-data-dictionary
    Harvest Object Id 8bf3f6dd-4dc0-4d34-8fb0-f37348c74e84
    Harvest Source Id 651e43b2-321c-4e4c-b86a-835cfc342cb0
    Harvest Source Title Healthdata.gov
    Homepage URL http://data.cms.gov/provider-compliance/fee-for-service-error-rate-improper-payment/medicare-fee-for-service-comprehensive-error-rate-testing
    License https://www.usa.gov/government-works
    Program Code 009:000
    Related Documents http://data.cms.gov/resources/medicare-fee-for-service-comprehensive-error-rate-testing-improper-payment-data-methodology
    Source Datajson Identifier True
    Source Hash 7686e2fb5a4d8bd8d2553ea9f8dc5eefdd77aa7e0c4a529368fe2bc547eb9b52
    Source Schema Version 1.1
    Temporal 2011-01-01/2024-12-31

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