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).

For More Information About CERT

Providers may designate a specific point of contact (POC) to receive CERT information in your facility. We strongly encourage you to assure your designated CERT POC is up to date. This is important in ensuring that the CERT request is received as soon as possible by the correct person and to avoid being routed to various departments within your facility. During the review process CERT and Palmetto GBA may need to call you concerning documentation request. You can reach the CERT office at 888–779–7477 to verify or make changes to this information.





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 DocumentationCERT Error: Incorrect CodingCERT Error: Insufficient DocumentationHEAT Provider Compliance Training VideosAmbulance ChecklistCERT Decisions May be AppealedCMS Contractors Verify ComplianceCERT Follow-up Record RequestsAsk Questions, Be InformedComplying with Medicare Signature RequirementsComplying with Medicare Signature RequirementsComplying with Documentation Requirements for Laboratory ServicesOutpatient 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 ErrorsCaring for Medicare Patients is a PartnershipA Legible Medical Record and Authentication MattersRequested CERT Documentation Located at Another FacilityThe Purpose of the CERT ContractorDocumenting Specific Services Is Critical!Lack of Documentation Affects Provider ReimbursementSignatures, Credentials and Dates Are ImportantCERT Records Request Letters: Hints