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).

From this web page, you may view CERT error rates by code group and provider type (specialty), articles about specific areas of concern as a result of CERT review findings, and newsletters from the CERT documentation contractor (CERT DC).

More Information About CERT

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 DocumentationVerify Your CERT Contact InformationGuide to CERT Request LettersFace to Face Documentation for Home Health Certification: Important Information for Certifying Physicians and Non-physician Practitioners (NPPs)CERT Contractor Email AddressesWhat is a Comparative Billing Report?CERT Appeals: Providing DocumentationEvaluation and Management Services: Submitting Requested DocumentationCERT Error: Incorrect CodingCERT Records Request Letters: HintsCERT Error: Insufficient DocumentationHEAT Provider Compliance Training VideosAmbulance ChecklistLack of Documentation Affects Provider ReimbursementDocumenting the Patient's Progress in the Medical RecordDiagnostic Test Order Needed to Support a Service for the Interpretation of a Diagnostic TestDocumenting Is Critical!Stamped Signatures Not Acceptable!Requested CERT Documentation Located at Another FacilityCERT Decisions May be AppealedLack of Signature Could Affect Provider ReimbursementSubmitting Complete and Legible Medical Records is Key!A Legible Medical Record MattersCMS Contractors Verify ComplianceWhat Can You Expect to Receive from the CERT Contractor?Respond to All CERT RequestsAdditional Guidance on Electronic Signatures Is AvailableSignatures, Credentials and Dates: They Are ImportantCreate a Signature LogOrders for Tests Must Be SignedCERT Follow-up Record RequestsKnow the Purpose of the CERT ContractorAsk Questions, Be InformedMedicare Does Not Accept Retroactive OrdersAuthentication Matters!Complying with Medicare Signature RequirementsComplying with Medicare Signature RequirementsCaring for Medicare Patients is a PartnershipFrom the Desk of the MAC Medical Directors: Caring for Medicare Patients is a PartnershipComplying with Documentation Requirements for Laboratory ServicesCaring for Medicare Patients is a PartnershipOutpatient Rehabilitation Therapy Services: Complying with Documentation RequirementsCERT A/B MAC Outreach & Education Task Force: Emphasis on Outreach & Education to Reduce ErrorsCMS 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 CloningEntries in Medical Records: Amendments, Corrections and AddendaTop CERT Errors