Do you know if the CERT Contractor differs from the Medicare Administrative Contractor?

Published 06/06/2021

Let us help you clarify. The Centers for Medicare & Medicaid Services (CMS) employs Palmetto GBA to process claims for Jurisdiction J, Jurisdiction M, and Railroad Board Specialty MAC providers. Our services include processing claims for Medicare Part A, Part B and sixteen states that provide home health and hospice (HHH) services. 

The CERT contractor is a totally separate contractor who contracts with CMS. So, the answer to the question is no, they are two separate contractors who are employed by CMS. Please refer to the following link for more information on the CERT contractor:

JJ Part A: Know the Purpose of the CERT Contractor

JM Part A: Know the Purpose of the CERT Contractor

JJ Part B: Know the Purpose of the CERT Contractor

JM Part B: Know the Purpose of the CERT Contractor

Home Health and Hospice: Know the Purpose of the CERT Contractor