The intent of the CERT program is to protect the Medicare Trust Fund by identifying errors and assessing error rates, at both the national and regional levels.
Course Hero envisions a world where every student graduates, confident and prepared. To this end, over 100,000 educators have joined the Course Hero community to share resources, collaborate with colleagues, and hone teaching strategies. Join the community at Education Summit '22. Attendees will receive a Certificate of Participation.
To this end, over 100,000 educators have joined the Course Hero community to share resources, collaborate with colleagues, and hone teaching strategies. Join the community at Education Summit '22.
Program Overview. The intent of the CERT program is to protect the Medicare Trust Fund by identifying errors and assessing error rates, at both the national and regional levels. Findings from the CERT program are used to identify trends that are driving the errors, such as errors by a specific provider type or service,...
The Comprehensive Error Rate Testing (CERT) program was established by the Centers for Medicare & Medicaid Services (CMS) to monitor the accuracy of claim payment in the Medicare Fee-For-Service (FFS) Program.
All FIRST Additional Documentation Request (ADR) letters for CERT are sent to the address on file with the National Supplier Clearinghouse (NSC) for Durable Medical Equipment Prosthetics, Orthotics and Supplies (DMEPOS) suppliers, or the Medicare Administrative Contractor (MAC) for the provider/supplier that billed/submitted the claim. All SUBSEQUENT ADR letters can be sent to a specific correspondence address. This can be provided to the CERT Customer Service Representative (CSR) by calling 888.779.7477. Refer to the Comprehensive Error Rate Testing (CERT) Program New Processes article for additional information.