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 tips intended to assist your office!

Latest Articles

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Authentication Matters! 10/04/2019
Top CERT Errors 04/25/2019
A Legible Medical Record Matters 03/12/2019
Additional Guidance on Electronic Signatures Is Available 03/12/2019
Ask Questions, Be Informed 03/12/2019
CERT Decisions May be Appealed 03/12/2019
CERT Follow-up Record Requests 03/12/2019
Create a Signature Log 03/12/2019
Diagnostic Test Order Needed to Support a Service for the Interpretation of a Diagnostic Test 03/12/2019
Lack of Documentation Affects Provider Reimbursement 03/12/2019
Lack of Signature Could Affect Provider Reimbursement 03/12/2019
Medicare Does Not Accept Retroactive Orders 03/12/2019
Orders for Tests Must Be Signed 03/12/2019
Physician Signatures Missing on Medical Records: CERT Tip 03/12/2019
Requested CERT Documentation Located at Another Facility 03/12/2019
Respond to All CERT Requests 03/12/2019
Signatures, Credentials and Dates: They Are Important 06/27/2018
Stamped Signatures Not Acceptable! 06/20/2018
Signature Log Can Be the Key 06/13/2018
CMS Contractors Verify Compliance 06/08/2018
Resources Are Available for Proper Compliance 05/24/2018
Documenting Is Critical! 05/11/2018
Documenting the Patient's Progress in the Medical Record 04/26/2018
Documenting Specific Services in the Medical Record 04/04/2018
Submitting Complete and Legible Medical Records is Key! 03/30/2018
What Can You Expect to Receive from the CERT Contractor? 03/14/2018
Do you know if the CERT Contractor differs from the Medicare Administrative Contractor? 03/06/2018
Know the Purpose of the CERT Contractor 02/27/2018