Answer:
The CERT program is comprised of two contractors. Each contractor has separate responsibilities. Examples of those duties are listed below:

1. The CERT Review Contractor (CERT RC) — AdvanceMed

  • Sample claims
  • Requests, receives, and reviews all medical records
  • Images medical records
  • Performs quality control of those records
  • Provider customer service
  • Education support
  • Compiles data
  • Maintains CERT claim status website
  • Maintains CERT management website

2. The CERT Statistical Contractor (CERT SC) 

  • Calculates improper payment rates
  • Designs sampling strategy
  • Maintains Live Data Dashboard

Contact Palmetto GBA JJ Part B Medicare

Provider Contact Center: 877-567-7271

Email JJ Part B

Contact a specific JJ Part B department



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