Other Review Contractors

Comprehensive Error Rate Testing (CERT) - View program background, request and response timeline, communication used between Noridian and providers, Provider Corrective Actions, responding to a CERT request, contact details, and resources

Office of Inspector General (OIG) - View OIG information and access the OIG website.

Quality Improvement Organization (QIO) - View QIO functions and access state QIOs.

Recovery Audit Contractor (RAC) - View RAC program details, contact information, types of reviews and the options available when receiving an RAC decision.

Supplemental Medical Review Contractor (SMRC) - Access current and completed projects, the discussion/education period, documentation requests and hot SMRC topics.

Unified Program Integrity Contractor (UPIC) - View UPIC information, access the Midwest and Western UPIC websites and view UPIC functions and non-functions.

Multiple CMS contractors are charged with completing reviews of medical records. This includes the Comprehensive Error Rate Testing (CERT) Contractor, Recovery Auditors (RA), and many more. See Identifying Which Entity Completed a Part A Claim Review for detailed information about each of these contractors.

 

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