Hospice Tip: Comprehensive Error Rate Testing (CERT) Error: Medical Necessity Not Met

Published 03/06/2018

When a hospice provider receives a Comprehensive Error Rate Testing (CERT) error for medically unnecessary service or treatment, the indication is that the hospice services provided were not reasonable and necessary such as the submitted documentation does not support a terminal prognosis, the beneficiary is stable, without significant decline, weight loss, or there is little change since election of the benefit.

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