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

2020 Jurisdiction M Part B West Virginia Comprehensive Error Rate Testing (CERT)2020 Jurisdiction M Part B North Carolina Comprehensive Error Rate Testing (CERT)2020 Jurisdiction M Part B South Carolina Comprehensive Error Rate Testing (CERT)2020 Jurisdiction M Part B Virginia Comprehensive Error Rate Testing (CERT)Provider Minute: Physician Orders/Intent to Order Laboratory Services and Other Diagnostic ServicesCERT Provider Sample LettersChiropractors: Submitting Requested DocumentationWhat is a Comparative Billing Report?Evaluation and Management Services: Submitting Requested DocumentationMedicare Providers: What You Need to Know About Signatures & DocumentationFace to Face Documentation for Home Health Certification: Important Information for Certifying Physicians and Non-physician Practitioners (NPPs)HEAT Provider Compliance Training VideosVerify Your CERT Contact InformationComprehensive Error Rate Testing (CERT) Question and Answer Fact SheetCERT Contractor Email AddressesMedicare Part B Payments for End-Stage Renal Disease Dialysis Services and Comprehensive Error Rate Testing (CERT)CERT Error: Insufficient DocumentationAmbulance ChecklistCERT Records Request Letters: HintsGuide to CERT Request LettersCERT Error: Incorrect CodingComprehensive Error Rate Testing (CERT) Identified Errors for TelehealthCERT Documentation Request ListingsCERT Appeals: Providing DocumentationCERT Signature Denial MessagesMedical Review: Additional Documentation Requests (ADRs)Physician Signatures Missing on Medical Records: CERT TipSubmitting Complete and Legible Medical Records is Key!Signatures, Credentials and Dates: They Are ImportantRequested CERT Documentation Located at Another FacilityDocumenting the Patient's Progress in the Medical RecordStamped Signatures Not Acceptable!Be Sure to Keep the CERT Contractor's Website UpdatedDiagnostic Test Order Needed to Support a Service for the Interpretation of a Diagnostic TestLack of Signature Could Affect Provider ReimbursementDocumenting Specific Services in the Medical RecordLack of Documentation Affects Provider ReimbursementRespond to All CERT RequestsOrders for Tests Must Be SignedCERT Follow-up Record RequestsDo you know if the CERT Contractor differs from the Medicare Administrative Contractor?Create a Signature LogMedicare Does Not Accept Retroactive OrdersDocumenting Is Critical!CMS Contractors Verify ComplianceWhat Can You Expect to Receive from the CERT Contractor?A Legible Medical Record MattersAdditional Guidance on Electronic Signatures Is AvailableAsk Questions, Be InformedCERT Decisions May be AppealedKnow the Purpose of the CERT ContractorTop CERT ErrorsAuthentication Matters!Complying with Medicare Signature RequirementsCaring for Medicare Patients is a PartnershipComplying with Documentation Requirements for Laboratory ServicesComplying with Medicare Signature RequirementsFrom the Desk of the MAC Medical Directors: Caring for Medicare Patients is a PartnershipCaring for Medicare Patients is a PartnershipOutpatient Rehabilitation Therapy Services: Complying with Documentation RequirementsCMS Provider Minute: The Importance of Proper Documentation VideoCMS Provider Minute: The Importance of Proper Documentation VideoComplying With Medical Record Documentation RequirementsProvider Minute: Utilizing Your MACCERT A/B MAC Outreach & Education Task Force: Emphasis on Outreach & Education to Reduce ErrorsMedicare Documentation Job Aid for Doctors of ChiropracticE/M Comparative Billing Reports: Peer Code ComparisonScribesEntries in Medical Records: Amendments, Corrections and AddendaMedical Record CloningIntroduction to CERT Web Based TrainingCERT Reviews of Palmetto GBA Medical Records Signature RequirementsAppeal Errors Identified by the Comprehensive Error Rate Testing (CERT) ProgramMismatched Credentials Jurisdictions J and M and Railroad Medicare Part B Comprehensive Error Rate Testing (CERT) Series: Review of Radiology Services Webinar