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July 16, 2021

Introducing the Comprehensive Error Rate (CERT) C3HUB

The CERT C3HUB web siteExternal website is designed to provide Medicare providers, suppliers, and contractors with information about the Comprehensive Error Rate Testing (CERT) Program and to facilitate coordination, collaboration, and communications between all stakeholders.

THIS LINK WILL DIRECT YOU TO THE HOME PAGE: C3HUB (cms.gov)External website

The C3HUB website contains the following featured web pages:

  • About CERT — Covers a brief description about the CERT program and the functions of the two CERT contractors: The Review Contractor and the Statistical Contractor.
  • Submit Records to CERT — Provides instructions to providers and suppliers on how to submit medical documentation to the CERT Review Contractor. There are five submission methods.
  • Letter and Contact Information — Notifies providers and suppliers of the schedule the CERT Review contractor uses to mail out the initial and subsequent Additional Documentation Request (ADR) letters. The timeline includes when providers and suppliers can expect to receive a telephone call. This webpage also identifies the source of the address the CERT RC will use to mail the initial and subsequent letters. It informs providers that telephone calls will be grouped to reduce multiple calls to the same provider. And provides instructions on how providers that 10 or more PTAN/OSCAR numbers have can join the chain address program.
  • Claim Status Search — Provides status of a claim under CERT review.
  • Attestation Letters — Provides a sample of the Disaster Attestation Letter. Providers and suppliers are required to submit this letter when the medical documentation requested to support a claim has been wholly or partially destroyed in a disaster. It also includes a sample of a Signature Attestation Letter that providers and suppliers can use when the signature is illegible/missing.
  • Sample Request Letters — Includes a sample of the initial and subsequent additional documentation request (ADR) letters that are sent to providers and suppliers. The letters are based on claim type. Both English and Spanish versions are available on this page.
  • Documentation Request Listings — Includes a sample of the types of documents that the provider and supplier should include when they receive a CERT letter requesting medical records. This page allows the provider to select a specific documentation listing based on service within each claim/billing type.
  • Psychotherapy Notes — Contains CMS special instructions for providing documentation for psychotherapy claims.
  • FAQs — Contains a word document with the most frequent questions asked about the CERT program.
  • CMS Links — Provides hyperlinks to various CMS topics/resources related to CERT (e.g., CERT power point, Medicare Quarterly Provider Compliance Newsletter, and information on encryption).
  • Contact Us — CERT Review Contractor’s mailing address, telephone and fax numbers and email address.

QUESTIONS:

CERT Documentation Center
8701 Park Central Drive Suite 400-A
Richmond, VA 23227
Fax: 804.261.8100

Customer Service Toll Free: 888.779.7477
Email: certmail@nciinc.com

OR

Julene S. Lienard, MPA
J15 CERT Coordinator
Telephone: 615.782.4591
Fax: 615.664.5961
Email: julene.lienard@cgsadmin.com

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