Comprehensive Error Rate Testing

The CERT program is designed to determine if Medicare contractors are processing and paying claims correctly.

• CERT Program Information
• CERT C3HUB provider website - On this page you will find:
  • Documentation Request Listings: Printable documentation lists to support Medicare claims based on provider/billing type
  • CERT Announcements (bottom of page): Pertinent information from the CERT contractor
  • Sample Request Letters: Sample medical record request letters you may receive from CERT documentation center
  • Letter and Contact Information: Schedule for ADR and determine if you are eligible for the Chain Address Program
  • Claim Status Search: Tool to determine if CERT received submitted documentation and once the decision is made, who you can contact at the MAC for the next step
• MLN Provider Compliance Tips - Background of improper payments by topic, denial reasons and how to prevent denials with resources

MD Signature Requirements

Did you know the MD signature is required on orders for laboratory services, diagnostic and therapeutic procedures, therapy treatment plans and physician progress notes? Also, if signature is not legible you will need to submit a signature key.

Please refer to the following related article for more details:

• Orders/Progress Notes Physician Signature Log

Revised 11/13/2024