The Comprehensive Error Rate Testing Contractor Process
The CERT contractor randomly selects claims providers submit to Medicare to determine if the claim was paid properly under Medicare coverage, coding and billing rules by requesting medical records. If the medical records do not support that the rules were met, the claim is counted as either a total or partial improper payment and a CERT error is assigned.
The goal of the CERT A/B MAC Outreach and Education Task Force is to ensure consistent communication and education to reduce the Medicare Part A and Part B error rates. The CERT Task Force creates or recommends certain articles or videos to help prevent CERT errors.
Did you have a claim that was selected by CERT? Learn how to utilize your MAC to help the CERT process go smoothly by watching this Compliance CERT Video: Provider Minute: Utilizing Your MAC.
Related Content
- Comprehensive Error Rate Testing
- CERT Contractor’s Website C3HUB
- The CERT A/B MAC Outreach & Education Task Force
Posted 12/7/2023