Days Until CERT Appeals Deadline: 34

All Appeals for the CERT Nov 2024 Reporting Year will need to be completed by September 10, 2024.

For more information on submitting Appeals please visit the Noridian Appeals webpage, or email the Noridian CERT team questions at JDDMECERT@noridian.com

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.

Empower AI, Inc. 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, Empower AI, Inc. 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 Apr 17 , 2023

Contractors

Follow standard appeals process and submit request to Noridian.

Empower AI, Inc. - CERT Review Contractor
Address:
CERT Documentation Center
8701 Park Central Drive, Suite 400-A
Richmond, VA 23227
Fax: 804-261-8100
Phone: 888-779-7477
Email:
CertMail@empower.ai
CertProvider@empower.ai