CERT Contractors

NCI is the CERT Review Contractor and the CERT Documentation Contractor.

CERT Review Contractor

NCI, a Program Safeguard Contractor (PSC), administers the activities of the Comprehensive Error Rate Testing (CERT) program. As the CERT Review Contractor, NCI is responsible for:

  • Selecting a random sample of claims that have been received by each Medicare contractor every month.
  • Reviewing the selected claims and associated medical record documentation to determine if the claim was appropriately adjudicated according to Medicare regulations/guidelines.

CERT Documentation Contractor

NCI's role as the CERT documentation contractor is to streamline the record request and receipt functions.

The CERT Documentation Contractor is responsible for:

  • Requesting and receiving medical record documents;
  • Maintaining a document tracking system;
  • Providing a website for updating supplier addresses and contact information;
  • Scanning the medical records into a retrieval system; and
  • Operating a call center to answer contractor and supplier questions regarding CERT.
     
Mailing Address NCI
CERT Documentation Center
1510 East Parham Road
Henrico, VA 23228
Phone 1-888-779-7477 or 1-443-663-2699
Fax 1-804-261-8100
Email CERTprovider@nciinc.com

 

Last Updated Tue, 02 Nov 2021 14:32:05 +0000