Comprehensive Error Rate Testing

CERT Alerts

Month/Year Topic
November 2024 No Documentation Received
November 2024 Signature Requirements
November 2024 Appeals Process After Claims Correction or Denial
September 2022 Physical Therapy Services
October 2021 Hospice Certification and Recertification
September 2021 Home Prothrombin Time International Normalized Ratio (PT/INR) Monitoring for Anticoagulation Management
August 2021 Psychological and Neuropsychological Testing
May 2021 Pulmonary Rehabilitation Program Services
November 2020 Patient Discharge Disposition Code
September 2020 Debridement Services
September 2020 Chronic Care Management
July 2020 Total Joint Arthroplasty
May 2020 Botulinum Toxin Injections for Chronic Headaches
May 2020 Home Health Care Requirements for a Plan of Care
April 2020 Chiropractic Services
February 2020 Amending Medical Records
December 2019 Continuous Cycling Peritoneal Dialysis
November 2019 CologuardTM Multitarget Stool DNA Test
November 2019 Prothrombin Time
October 2019 Diagnostic Mammography
September 2019 Prolonged Services
July 2019 Annual Wellness Visit
May 2019 Hyperbaric Oxygen Therapy Treatment
May 2019 Surgery Services
December 2018 Medication Administration
October 2018 Ambulance Services
July 2018 Stereotactic Body Radiation Therapy
May 2018 Anesthesia Services
April 2018 Diagnostic Testing Services
December 2017 Hemodialysis Treatment
December 2017 Psychiatry and Psychology Services
November 2017 Hospital Discharge Summary: Insufficient Documentation Causes Most Improper Payments
October 2016 Bill Inpatient or Outpatient Services
August 2017 Process for Requesting Medical Records
June 2016 Inpatient Psychiatric Certification/Recertification/Delayed Certification
May 2016 Physician Documentation Requirements for Certification of Home Health Care
April 2016 SNF Inpatient Stays
February 2016 Physician Orders to Admit to Inpatient Hospital or for Observation Services
February 2016 Pacemakers and Cardiac Defibrillators
October 2014 Transcatheter Aortic Valve Replacement
December 2013 Part A to Part B Claims (Rebilling) Submissions
September 2012 Inpatient Hospital Surgery
June 2012 Redetermination/Reopening Requests Online with NGSConnex
June 2010 Selecting the Appropriate Principal Diagnosis for Inpatient Services
October 2009 Complete Blood Count with Differential CPT Code 85025
September 2009 Evaluation and Management Codes
February 2009 Diagnosis-Related Group Claims Reviewed for IPPS Providers
January 2009 Therapy Checklist

 

Revised 11/14/2024

Helpful Resources

CERT Denial Finder
CERT Task Force
CMS CERT Compliance

Options for submitting medical records to CERT

Include barcode coversheet with all submissions.

Option to submit Electronic using esMD:
More information on esMD can be found atwww.cms.gov, be sure to route medical records to the CERT Contractor at:

804-261-8100

Option to Mail:
CERT Documentation Center
Attn: CID
8701 Park Central Drive, Suite 400-A
Richmond, VA 23227

Providers mailing documentation via CD should send the password toCERTmail@empower.ai; use the CID number in the subject line of your email (no PHI).

Option to email:
Email documentation in an encrypted emailed to CERT atCERTmail@empower.ai. Password should be submitted in separate email, use the CID number in the subject line of your emails (no PHI).

Questions about medical record submissions

CERT Customer Service:
443-663-2699
Toll Free: 888-779-7477
CERTprovider@empower.ai

Questions about CERT reviews
NGS Provider Contact Center
Select “Contact Us” for phone number per state and jurisdiction

Helpful Resources

CERT Denial Finder
CERT Task Force
CMS CERT Compliance

Options for submitting medical records to CERT

Include barcode coversheet with all submissions.

Option to submit Electronic using esMD:
More information on esMD can be found at www.cms.gov, be sure to route medical records to the CERT Contractor at:

804-261-8100

Option to Mail:
CERT Documentation Center
Attn: CID
8701 Park Central Drive, Suite 400-A
Richmond, VA 23227

Providers mailing documentation via CD should send the password toCERTmail@empower.ai; use the CID number in the subject line of your email (no PHI).

Option to email:
Email documentation in an encrypted emailed to CERT atCERTmail@empower.ai. Password should be submitted in separate email, use the CID number in the subject line of your emails (no PHI).

Questions about medical record submissions

CERT Customer Service:
443-663-2699
Toll Free: 888-779-7477
CERTprovider@empower.ai

Questions about CERT reviews
NGS Provider Contact Center
Select “Contact Us” for phone number per state and jurisdiction

Helpful Resources

CERT Denial Finder
CERT Task Force
CMS CERT Compliance

Options for submitting medical records to CERT

Include barcode coversheet with all submissions.

Option to submit Electronic using esMD:
More information on esMD can be found at www.cms.gov, be sure to route medical records to the CERT Contractor at:

804-261-8100

Option to Mail:
CERT Documentation Center
Attn: CID
8701 Park Central Drive, Suite 400-A
Richmond, VA 23227

Providers mailing documentation via CD should send the password toCERTmail@empower.ai; use the CID number in the subject line of your email (no PHI).

Option to email:
Email documentation in an encrypted emailed to CERT atCERTmail@empower.ai. Password should be submitted in separate email, use the CID number in the subject line of your emails (no PHI).

Questions about medical record submissions

CERT Customer Service:
443-663-2699
Toll Free: 888-779-7477
CERTprovider@empower.ai

Questions about CERT reviews
NGS Provider Contact Center
Select “Contact Us” for phone number per state and jurisdiction

Helpful Resources

CERT Denial Finder
CERT Task Force
CMS CERT Compliance

Options for submitting medical records to CERT

Include barcode coversheet with all submissions.

Option to submit Electronic using esMD:
More information on esMD can be found at www.cms.gov, be sure to route medical records to the CERT Contractor at:

804-261-8100

Option to Mail:
CERT Documentation Center
Attn: CID
8701 Park Central Drive, Suite 400-A
Richmond, VA 23227

Providers mailing documentation via CD should send the password toCERTmail@empower.ai; use the CID number in the subject line of your email (no PHI).

Option to email:
Email documentation in an encrypted emailed to CERT atCERTmail@empower.ai. Password should be submitted in separate email, use the CID number in the subject line of your emails (no PHI).

Questions about medical record submissions

CERT Customer Service:
443-663-2699
Toll Free: 888-779-7477
CERTprovider@empower.ai

Questions about CERT reviews
NGS Provider Contact Center
Select “Contact Us” for phone number per state and jurisdiction