Corporate

Medical Review Contractors

The Centers for Medicare & Medicaid Services (CMS) utilizes a number of contractors to conduct medical review of claims and documentation, including:

  • Medicare Administrative Contractors (MACs), including CGS
  • Comprehensive Error Rate Testing (CERT) contractors
  • Recovery Auditors (RAs)
  • Zone Program Integrity Contractors (ZPICs)/UPIC
  • Supplemental Medical Review Contractor (SMRC)

Recovery Auditors

Recovery Auditors (RA's)External Website

SMRC

Supplemental Medical Review ContractorExternal Website

ZPICS

Unified Program Integrity Contractors (UPICS)External Website

MAC

Medicare Administrative ContractorsExternal PDF

MAC

Comprehensive Error Rate Testing (CERT) contractors


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