Comprehensive Error Rate Testing (CERT)
Since 1996, CMS implemented several initiatives to prevent improper payments. CMS' goal is to reduce payment errors by identifying and addressing billing errors concerning coverage and coding. The CERT is one of the programs created by CMS to assist in eliminating improper payments.
AdvanceMed is the CERT Review Contractor and the CERT Documentation Contractor. They complete audits on randomly selected claims submitted to Noridian. When a claim has been selected for an audit, AdvanceMed sends a supplier a Medical Record Request Letter asking that all supporting claim documentation be pulled for the audit.
CERT Articles - Learn more about common CERT errors and answers to common CERT questions.
CERT Contact Information - Suppliers may submit CERT-related inquiries via phone or email.
CERT Contractor - View information about the CERT contractor, their role and contact information.
CERT Documentation Requests Impacted by a Disaster - This article is for providers that have claims under CERT review and are affected by a natural or man-made disaster.
CERT Quick Look Documentation Tool - View a reference guide of common CERT policies under review and the documentation that is typically required for policy criteria to be met.
CERT Review Process - View the process for receiving and responding to CERT requests.
Noridian CERT-Related Communications - View a listing of the most common types of communication that suppliers will receive from Noridian, primarily by fax, is provided.
Last Updated Feb 04, 2020
This Task Force is a collaboration of DME MACs to communicate national issues of concern regarding improper payments.