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

Laboratory Services: Submitting Requested Documentation to the CERTIntroduction to CERT Web Based TrainingCERT Provider Sample LettersProvider Minute: Physician Orders/Intent to Order Laboratory Services and Other Diagnostic ServicesChiropractors: Submitting Requested DocumentationFace to Face Documentation for Home Health Certification: Important Information for Certifying Physicians and Non-physician Practitioners (NPPs)HEAT Provider Compliance Training VideosAmbulance ChecklistCERT Decisions May be AppealedCERT Follow-up Record RequestsComplying with Medicare Signature RequirementsComplying with Medicare Signature RequirementsComplying with Documentation Requirements for Laboratory ServicesOutpatient Rehabilitation Therapy Services: Complying with Documentation RequirementsCMS Provider Minute: The Importance of Proper Documentation VideoComplying With Medical Record Documentation RequirementsCMS Provider Minute: The Importance of Proper Documentation VideoProvider Minute: Utilizing Your MACMedicare Documentation Job Aid for Doctors of ChiropracticScribesMedical Record CloningTop CERT ErrorsCaring for Medicare Patients is a PartnershipA Legible Medical Record and Authentication MattersRequested CERT Documentation Located at Another FacilityThe Purpose of the CERT ContractorDocumenting Specific Services Is Critical!Signatures, Credentials and Dates Are ImportantCERT Records Request Letters: HintsCERT A/B MAC Outreach and Education Task Force: Emphasis on Outreach and Education to Reduce ErrorsLet's Take a Stab at LabsGuide to CERT Request LettersLack of Documentation Affects Provider ReimbursementCERT Holiday Announcement: Martin Luther King DayAsk Questions, Be InformedEntries in Medical Records: Amendments, Corrections and AddendaCERT Error: Incorrect CodingCMS Contractors Verify ComplianceCERT Appeals: Providing DocumentationCERT Contractor Email AddressesCERT Error: Insufficient Documentation

Last Updated: 06/01/2020