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).

For More Information About CERT

Providers may designate a specific point of contact (POC) to receive CERT information in your facility. We strongly encourage you to assure your designated CERT POC is up to date. This is important in ensuring that the CERT request is received as soon as possible by the correct person and to avoid being routed to various departments within your facility. During the review process CERT and Palmetto GBA may need to call you concerning documentation request. You can reach the CERT office at 888–779–7477 to verify or make changes to this information.





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 ListingsHEAT Provider Compliance Training VideosCERT Error: Incorrect CodingEvaluation and Management Services: Submitting Requested Documentation2020 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)Ask Questions, Be InformedCERT Decisions May be AppealedCERT Follow-up Record RequestsCMS Contractors Verify ComplianceTop CERT ErrorsMismatched CredentialsComplying with Documentation Requirements for Laboratory ServicesComplying 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 RequirementsCMS MLN Fact Sheet: Medical Record Maintenance and Access RequirementsCaring for Medicare Patients is a PartnershipCMS Physician Orders: Provider Minute VideoA Legible Medical Record and Authentication MattersDocumenting Specific Services Is Critical!Physician Signatures Missing on Medical Records: CERT TipThe Purpose of the CERT ContractorLack of Documentation Affects Provider ReimbursementRequested CERT Documentation Located at Another FacilitySignatures, Credentials and Dates Are ImportantDo you know if the CERT Contractor differs from the Medicare Administrative Contractor?Be Sure to Keep the CERT Contractor's Website UpdatedComprehensive Error Rate Testing (CERT) Question and Answer Fact SheetCERT Records Request Letters: Hints