Comprehensive Error Rate Testing (CERT)


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 and Education efforts. One of the major outcomes of these CERT reports is the paid claims error rate (percentage of dollars paid incorrectly).

For More Information About CERT

Providers may designate a specific point of contact (POC) to receive CERT information in your billing or medical records office. We strongly encourage you to assure your designated CERT POC is up to date. This is important in ensuring that the CERT request is received as soon as possible by the correct person and to avoid being routed to various departments within your facility. During the review process CERT and Palmetto GBA may need to call you concerning documentation request. You can reach the CERT office at 888–779–7477.




Provider Minute: Physician Orders/Intent to Order Laboratory Services and Other Diagnostic ServicesCERT Provider Sample LettersPatient Discharge Status Codes MatterDRG 460 - Spinal FusionMedicare Part A Payments for End-Stage Renal Disease Dialysis Services and Comprehensive Error Rate Testing (CERT)DRG 453, 454 and 455 - Combined Anterior/Posterior Spinal FusionHEAT Provider Compliance Training VideosCERT Decisions May be AppealedCERT Follow-up Record RequestsComplying with Documentation Requirements for Laboratory ServicesOutpatient Rehabilitation Therapy Services: Complying with Documentation RequirementsCMS Provider Minute: The Importance of Proper Documentation VideoProvider Minute: Utilizing Your MACComplying With Medical Record Documentation RequirementsCMS Provider Minute: The Importance of Proper Documentation VideoIntroduction to CERT Web Based TrainingCMS MLN Fact Sheet: Medical Record Maintenance and Access RequirementsThe Purpose of the CERT ContractorRequested CERT Documentation Located at Another FacilityPhysician Signatures Missing on Medical Records: CERT TipSignatures, Credentials and Dates Are ImportantDo you know if the CERT Contractor differs from the Medicare Administrative Contractor?How to Avoid Denials for Inpatient Transcatheter Aortic Valve Replacement (TAVR) ServicesHow to Avoid Denials for Inpatient Transcatheter Aortic Valve Replacement (TAVR) ServicesBe Sure to Keep the CERT Contractor's Website UpdatedCERT A/B MAC Outreach and Education Task Force: Emphasis on Outreach and Education to Reduce ErrorsDRG 266 and DRG 267: Endovascular Cardiac Valve ReplacementAftercare, Musculoskeletal System and Connective Tissue Diagnosis Related Groups (DRGs)Appeal Errors Identified by the Comprehensive Error Rate Testing (CERT) ProgramLack of Documentation Affects Provider ReimbursementAsk Questions, Be InformedCMS Contractors Verify ComplianceCERT Contractor Email AddressesCERT Appeals: Providing DocumentationCERT Error: Insufficient DocumentationCERT: Part A ChecklistCERT Error: Incorrect CodingDRG 226 and 227 Cardiac Defibrillator Implant without Cardiac Catheterization with/without MCCEntries in Medical Records: Amendments, Corrections and AddendaDo You Know What Your Comprehensive Error Rate Testing (CERT) Contractor Is Looking For?Important Upcoming CERT DatesDRG 056: Degenerative Nervous System Disorders with MCC, DRG 057: Degenerative Nervous System Disorders without MCCDRG 627: Thyroid, Parathyroid and Thyroglossal ProcedureDRG 560: Aftercare, Musculoskeletal System and Connective Tissue with Complication or ComorbidityOutpatient Therapy and Rehabilitation Services Documentation ChecklistMedicare Providers: What You Need to Know About Signatures and DocumentationPart A Module: DRGs 871 and 872DRG 884 (Psychoses) and DRG 885 (Organic Disturbances and Mental Retardation)CERT: Inpatient Psychiatric Facility ChecklistComprehensive Error Rate Testing 'Teaching and Instruction for Providers' LettersA Legible Medical Record and Authentication MattersComprehensive Error Rate Testing (CERT) Question and Answer Fact SheetResponding to CERT Documentation RequestCERT Review Contractor New Address InformationInpatient Rehabilitation Facilities Required DocumentationCERT Holiday Announcement: Memorial DayWhat's the Comprehensive Error Rate Testing (CERT) Program?Collaborative Patient Care Is a Provider PartnershipComprehensive Error Rate Testing Documentation Center Moved on April 13

Last Updated: 01/01/2020