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)
- Supplemental Medical Review Contractor (SMRC)
Updated: 12.23.20

