General Information

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).

For more information about CERT:

Also, providers may designate a specific point of contact to receive CERT information in your billing or medical records office. Please click on the link below and update the point of contact information for your facility. This is important in ensuring that the correct CERT request is received as soon as possible by the contact person to avoid the CERT review from being routed to various departments within each Part A facility.

Establish a CERT contact person for your practice on the CERT Documentation Contractor website

Latest Articles

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Appeal Errors Identified by the Comprehensive Error Rate Testing (CERT) Program 10/15/2019
How to Avoid Denials for Inpatient Percutaneous Left Atrial Appendage Closure (LAAC) Services 08/28/2019
How to Avoid Denials for Inpatient Transcatheter Aortic Valve Replacement (TAVR) Services 08/28/2019
Medicare Part A Payments for End-Stage Renal Disease Dialysis Services and Comprehensive Error Rate Testing (CERT) 08/13/2019
DRG 207 - Respiratory System Diagnoses with Ventilator Support 07/02/2019
DRG 453, 454 and 455 - Combined Anterior/Posterior Spinal Fusion 07/02/2019
DRG 560 - Aftercare, Musculoskeletal System and Connective Tissue with Complication or Comorbidity (CC) 06/25/2019
DRG 517 - Other Musculoskeletal System and Connective Tissue O.R. Procedures 06/20/2019
DRG 556 - Signs and Symptoms of Musculoskeletal System and Connective Tissue 06/20/2019
DRG 003 - Mechanical Ventilation 06/19/2019
DRG 057 - Degenerative Nervous System Disorders W/O MCC 06/19/2019
DRG 227 - Cardiac Defibrillator Implant W/O Cardiac Catheterization w/o MCC 06/19/2019
DRG 627 - Thyroid, Parathyroid and Thyroglossal procedure 06/19/2019
DRG 092 - Other Disorders of Nervous System with Complication Or Comorbidity W/CC 06/18/2019
DRG 493 - Lower Extremity and Humerus Procedures 06/18/2019
DRG 518 - Back and Neck Procedures 06/18/2019
DRG 193, 194 and 195 - Simple Pneumonia and Pleurisy 06/17/2019
DRG 312 - Syncope and Collapse 06/17/2019
DRG 313 - Chest Pain 06/17/2019
DRG 884 (Psychoses) and DRG 885 (Organic Disturbances and Mental Retardation) 06/17/2019
DRG 948 - Signs and Symptoms w/o MCC 06/17/2019
DRG 266 - Endovascular Cardiac Valve Replacement with MCC 06/13/2019
DRG 460 - Spinal Fusion 06/13/2019
CERT Error Rate Data Map 03/04/2019
North Carolina Part A CERT Information 03/04/2019
South Carolina Part A CERT Information 03/04/2019
Virginia/West Virginia Part A CERT Information 03/04/2019
Inpatient Rehab Facilities (IRFs) Common CERT Error Codes 10/26/2018
Provider Minute: Physician Orders/Intent to Order Laboratory Services and Other Diagnostic Services Open in New Window08/09/2018
What is a Comparative Billing Report? 04/16/2018
Comprehensive Error Rate Testing (CERT) Identified Errors for Telehealth 03/16/2018
Comprehensive Error Rate Testing (CERT) Errors - Critical Access Hospitals (CAH) 03/15/2018
Comprehensive Error Rate Testing (CERT) Question and Answer Fact Sheet 02/12/2018
Medicare Claim Review Programs Open in New Window02/05/2018
Complying with Medicare Signature Requirements Open in New Window02/02/2018
CERT Error: Incorrect Coding 01/11/2018
Comprehensive Error Rate Testing (CERT) Teaching and Instruction for Providers (TIP) Letters from Medical Review 01/11/2018
HEAT Provider Compliance Training Videos Open in New Window01/11/2018
Verify Your CERT Contact Information 01/11/2018
Introduction to CERT Web Based Training Open in New Window01/04/2018
   

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