General Information

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 error rates by code group and provider type (specialty), articles about specific areas of concern as a result of CERT review findings and newsletters from the CERT Documentation Contractor or CERT DC. For more information about CERT:

Latest Articles

      

HEAT Provider Compliance Training Videos Open in New Window06/19/2020
E/M Comparative Billing Reports: Peer Code Comparison 06/09/2020
CERT Error Rate Data Map 02/28/2020
2020 Jurisdiction J Part B Alabama Comprehensive Error Rate Testing (CERT) 02/14/2020
2020 Jurisdiction J Part B Georgia Comprehensive Error Rate Testing (CERT) 02/14/2020
2020 Jurisdiction J Part B Tennessee Comprehensive Error Rate Testing (CERT) 02/14/2020
Complying with Medicare Signature Requirements Open in New Window01/21/2020
Introduction to CERT Web Based Training Open in New Window12/17/2019
Appeal Errors Identified by the Comprehensive Error Rate Testing (CERT) Program 10/15/2019
Medicare Part B Payments for End-Stage Renal Disease Dialysis Services and Comprehensive Error Rate Testing (CERT) 08/07/2019
Alabama CERT Data 03/08/2019
Georgia CERT Data 03/08/2019
Tennessee CERT Data 03/08/2019
Provider Minute: Physician Orders/Intent to Order Laboratory Services and Other Diagnostic Services Open in New Window08/09/2018
Medical Record Cloning 05/02/2018
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) Question and Answer Fact Sheet 02/12/2018
CERT Records Request Letters: Hints 02/05/2018
CERT Signature Denial Messages 02/05/2018
Face to Face Documentation for Home Health Certification: Important Information for Certifying Physicians and Non-physician Practitioners (NPPs) 02/05/2018
Guide to CERT Request Letters 02/05/2018
Complying with Medicare Signature Requirements Open in New Window02/02/2018
CERT Error: Incorrect Coding 01/11/2018
Verify Your CERT Contact Information 01/11/2018