Comprehensive Error Rate Testing (CERT)
Since 1996, Centers for Medicare & Medicaid Services (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 as well as the CERT Documentation Contractor. As a CERT Review Contractor, AdvanceMed completes audits on randomly selected claims submitted to Noridian. Once a claim has been selected for audit, AdvanceMed will send out a Medical Record Request Letter to the supplier requesting all documentation supporting the claim that has been pulled for audit.
|CERT Articles||Learn more about common CERT errors and answers to common CERT questions.|
|CERT Contractors||AdvanceMed is the CERT Review Contractor as well as the CERT Documentation Contractor.|
|CERT Email|| |
Suppliers may submit CERT-related inquiries via email.
|CERT Quick Look Documentation Chart|| |
A quick look reference guide of common Comprehensive Error Rate Testing (CERT) policies under review and the documentation that is usually required for the policy criteria to be met.
|CERT Review Process|| |
The process for receiving and responding to CERT requests.
|Noridian CERT-Related Communications|| |
A listing of the most common types of communication that suppliers will receive from Noridian, primarily by fax, is provided
Last Updated Oct 06, 2016