Comprehensive Error Rate Testing (CERT)

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 and 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 (CERT DC).

More Information About CERT

Comprehensive Error Rate Testing (CERT) Articles

CERT Provider Sample LettersProvider Minute: Physician Orders/Intent to Order Laboratory Services and Other Diagnostic ServicesCERT Error: Insufficient DocumentationVerify Your CERT Contact InformationChiropractors: Submitting Requested DocumentationCERT Signature Denial MessagesCERT Documentation Request ListingsCERT Records Request Letters: HintsHEAT Provider Compliance Training VideosCERT Error: Incorrect CodingEvaluation and Management Services: Submitting Requested DocumentationComprehensive Error Rate Testing (CERT) Question and Answer Fact Sheet2020 Jurisdiction J Part B Georgia Comprehensive Error Rate Testing (CERT)Medicare Providers: What You Need to Know About Signatures & DocumentationComprehensive Error Rate Testing (CERT) Identified Errors for TelehealthMedicare Part B Payments for End-Stage Renal Disease Dialysis Services and Comprehensive Error Rate Testing (CERT)Face to Face Documentation for Home Health Certification: Important Information for Certifying Physicians and Non-physician Practitioners (NPPs)CERT Contractor Email AddressesCERT Appeals: Providing DocumentationAppeal Errors Identified by the Comprehensive Error Rate Testing (CERT) ProgramWhat is a Comparative Billing Report?Guide to CERT Request LettersAmbulance ChecklistMedical Review: Additional Documentation Requests (ADRs)What Can You Expect to Receive from the CERT Contractor?Orders for Tests Must Be SignedCreate a Signature LogAdditional Guidance on Electronic Signatures Is AvailableDiagnostic Test Order Needed to Support a Service for the Interpretation of a Diagnostic TestLack of Documentation Affects Provider ReimbursementAsk Questions, Be InformedA Legible Medical Record MattersDocumenting Specific Services in the Medical RecordSubmitting Complete and Legible Medical Records is Key!Medicare Does Not Accept Retroactive OrdersDocumenting the Patient's Progress in the Medical RecordCERT Decisions May be AppealedRespond to All CERT RequestsSignatures, Credentials and Dates: They Are ImportantDo you know if the CERT Contractor differs from the Medicare Administrative Contractor?Documenting Is Critical!Lack of Signature Could Affect Provider ReimbursementKnow the Purpose of the CERT ContractorStamped Signatures Not Acceptable!Physician Signatures Missing on Medical Records: CERT TipCERT Follow-up Record RequestsRequested CERT Documentation Located at Another FacilityCMS Contractors Verify ComplianceTop CERT ErrorsMismatched CredentialsAuthentication Matters!Caring for Medicare Patients is a PartnershipFrom the Desk of the MAC Medical Directors: Caring for Medicare Patients is a PartnershipComplying with Documentation Requirements for Laboratory ServicesCaring for Medicare Patients is a PartnershipComplying with Medicare Signature RequirementsOutpatient Rehabilitation Therapy Services: Complying with Documentation RequirementsCERT A/B MAC Outreach & Education Task Force: Emphasis on Outreach & Education to Reduce ErrorsProvider Minute: Utilizing Your MACCMS Provider Minute: The Importance of Proper Documentation VideoComplying With Medical Record Documentation RequirementsMedicare Documentation Job Aid for Doctors of ChiropracticCMS Provider Minute: The Importance of Proper Documentation VideoE/M Comparative Billing Reports: Peer Code ComparisonScribesMedical Record CloningIntroduction to CERT Web Based TrainingEntries in Medical Records: Amendments, Corrections and AddendaCERT Reviews of Palmetto GBA Medical Records Signature Requirements