Comprehensive Error Rate Testing

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:

Revised 11/13/2024

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