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Jurisdiction 11 Part B
General Information

The Centers for Medicare & Medicaid Services (CMS) established the Comprehensive Error Rate Testing (CERT) program to monitor and report the accuracy of Medicare fee-for-service (FFS) payments. The CERT program measures the error rate for claims submitted to Medicare contractors. Palmetto GBA uses CERT reports to identify areas of focus for our Provider Outreach & Education efforts. One of the major outcomes of these CERT reports is the paid claims error rate (percentage of dollars paid incorrectly).

From this Web page, you may view CERT error rates by code group and provider type (specialty), articles about specific areas of concern as a result of CERT review findings and newsletters from the CERT Documentation Contractor or CERT DC. For more information about CERT:



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If I am uncertain as to whether Medicare or the CERT contractor can read my doctor's signature may I voluntarily submit a signature log when asked to provide documentation?07/15/2014
Billing for Visits to Patients in Swing Bed Facilities06/15/2014
Psychiatry and Psychotherapy ServicesOpen in New Window03/19/2014
FAQs: Additional Medical Review Projects and CERT03/12/2014
Medicare Claim Review ProgramsOpen in New Window03/12/2014
The ABCs of the Comprehensive Error Rate Testing (CERT) Program and How to Respond to CERT Requests01/31/2014
Verify Your CERT Contact Information01/31/2014
Medicare Quarterly Provider Compliance NewsletterOpen in New Window01/23/2014
Medicare Claim Review Programs: MR, NCCI Edits, MUEs, CERT and RAC BookletOpen in New Window01/01/2014
Temporary Delay in Implementing 60 Day Response for Initial Comprehensive Error Rate Testing (CERT) Documentation Submission12/05/2013
CERT Error: Incorrect Coding11/26/2013
What is a Comparative Billing Report?11/26/2013
CERT Signature Denial Messages07/10/2013
Face to Face Documentation for Home Health Certification: Important Information for Certifying Physicians and Non-physician Practitioners (NPPs)06/05/2013
HEAT Provider Compliance Training VideosOpen in New Window12/07/2012
Medical Record Cloning11/06/2012
CERT Records Request Letters: Hints08/11/2012
Guide to CERT Request Letters07/01/2012
Introduction to CERT Web Based TrainingOpen in New Window06/28/2012

 

last updated on 7/01/2014
ver 1.0.51