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
Be Sure to Keep the CERT Contractor's Website Updated 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
Hospice Tip: Assessments 07/11/2018
Home Health Tip: Document Complication Factors 07/05/2018
Hospice Tip: Palliative Care Acknowledgement in the Hospice Election Statement 07/05/2018
Home Health Tip: Diagnosis 06/27/2018
Hospice Tip: Signatures for Face-to-Face Encounters 06/27/2018
Signatures, Credentials and Dates: They Are Important 06/27/2018
Home Health Tip: Acute Change in Patient's Condition 06/20/2018
Hospice Tip: Certification of Terminal Illness 06/20/2018
Stamped Signatures Not Acceptable! 06/20/2018
Home Health Tip: Home Health Services Eligibility 06/13/2018
Hospice Tip: Election Information 06/13/2018
Signature Log Can Be the Key 06/13/2018
CMS Contractors Verify Compliance 06/08/2018
Home Health Tip: Date of Face-to-Face Encounter 06/08/2018
Hospice Tip: CERT Medical Record Review 06/08/2018
Home Health Tip: Face-to-Face Encounter 05/24/2018
Hospice Tip: Complete Documentation 05/24/2018
Resources Are Available for Proper Compliance 05/24/2018
Home Health Tip: Sufficient Documentation Required 05/15/2018
Hospice Tip: Documentation 05/15/2018
Documenting Is Critical! 05/11/2018
Home Health Tip: Nursing Documentation 05/11/2018
Hospice Tip: Correctly Code Claims 05/11/2018
Documenting the Patient's Progress in the Medical Record 04/26/2018
Home Health Tip: Documentation to Support HIPPS Code 04/26/2018
Hospice Tip: Benefit Period 04/26/2018
Home Health Tip: Insulin Administration 04/13/2018
Documenting Specific Services in the Medical Record 04/04/2018
Home Health Tip: Orders Must be in the Proper Format 04/04/2018
Hospice Tip: Incorrect Coding 04/04/2018
Home Health Tip: Plan of Care Certification is Required 03/30/2018
Hospice Tip: Date(s) of Service 03/30/2018
Submitting Complete and Legible Medical Records is Key! 03/30/2018
Home Health Tip: Comprehensive Error Rate Testing (CERT) Error - Medical Necessity Not Met 03/14/2018
Hospice Tip: What documentation is needed to support terminal illness? 03/14/2018
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
Home Health Tip: Therapy Services 03/06/2018
Hospice Tip: Comprehensive Error Rate Testing (CERT) Error: Medical Necessity Not Met 03/06/2018
Home Health Tip: Frequency and Duration Requirements for Therapy 02/27/2018
Hospice Tip: Certification/Recertification 02/27/2018
Know the Purpose of the CERT Contractor 02/27/2018

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Provider Contact Center: 855-696-0705

TDD: 866-830-3188

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