The CERT Documentation Contractor (CDC) randomly selects processed claims, then requests and receives records. The CERT Review Contractor (CRC) reviews the submitted records and notifies the MAC of the claim review decision. If there are no errors associated with a sampled claim, there are no further actions. If there are payment errors associated with a sampled claim, the CRC notifies the MAC who then collects any overpayments or, in the case of underpayments, issues additional payments.
last updated on 04/11/2013