Comprehensive boiler and machinery coverage

Boiler and machinery (BM) coverage that applies to all insurable objects. There are two types
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Boiler and machinery (BM) coverage that applies to all insurable objects. There are two types standard comprehensive coverage applies to all objects except production machinery extended comprehensive coverage applies to all objects including production machinery. Contrasts with blanket group BM coverage, which applies to all objects within specified categories of objects, and with coverage applying only to individually described objects.

Comprehensive code

1. Single procedural code that describes or covers two or more CPT component codes that are bundled together as one unit.2. Under the Correct Coding Initiative (CCI), a file known as component edits lists pairs of codes considered an integral part of the main surgical service provided. The comprehensive procedure is listed first and then behind it is a component code.

Comprehensive Error Rate Testing (CERT) Program

One of two programs established by the Centers for Medicare and Medicaid Services (CMS) to monitor and report the accuracy of Medicare FFS payments: the Comprehensive Error Rate Testing (CERT) program and the Hospital Payment Monitoring Program (HPMP). The national error rate is calculated using a combination of data from the CERT contractor and HPMP with each component representing about 60% and 40% of the total Medicare FFS dollars paid. The CERT program measures the error rate for claims submitted to Carriers, Durable Medical Equipment Regional Carriers (DMERCs), and Fiscal Intermediaries (FIs). The HPMP measures the error rate for the quality improvement organizations (QIOs). Beginning in 2003, CMS elected to calculate a provider compliance error rate in addition to the paid claims error rate. The provider compliance error rate measures how well providers prepare Medicare FFS claims for submission. CMS calculates the Medicare Fee-For-Service error rate and estimate of improper claim payments using a methodology the OIG approved. The CERT methodology includes randomly selecting a sample of approximately 120,000 submitted claims, requesting medical records from providers who submitted the claims, and reviewing the claims and medical records for compliance with Medicare coverage, coding, and billing rules.