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Medicare Fee-for-Service Comprehensive Error Rate Testing

Metadata Updated: December 11, 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

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

Dates

Metadata Created Date January 25, 2022
Metadata Updated Date December 11, 2025
Data Update Frequency R/P1Y

Metadata Source

Harvested from Healthdata.gov

Additional Metadata

Resource Type Dataset
Metadata Created Date January 25, 2022
Metadata Updated Date December 11, 2025
Publisher Centers for Medicare & Medicaid Services
Maintainer
Identifier https://data.cms.gov/data-api/v1/dataset/6395b458-2f89-4828-8c1a-e1e16b723d48/data-viewer
Data First Published 2025-12-09
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 https://data.cms.gov/resources/medicare-fee-for-service-comprehensive-error-rate-testing-improper-payment-data-dictionary
Harvest Object Id 437795c0-9891-4b85-a111-e81712568f7b
Harvest Source Id 651e43b2-321c-4e4c-b86a-835cfc342cb0
Harvest Source Title Healthdata.gov
Homepage URL https://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 https://data.cms.gov/resources/medicare-fee-for-service-comprehensive-error-rate-testing-improper-payment-data-methodology
Source Datajson Identifier True
Source Hash 613017763f44c653c3da6419dea863af15331b08b84aa23c4604efa8dd194b6d
Source Schema Version 1.1
Temporal 2011-01-01/2024-12-31

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