Comprehensive Error Rate Testing (CERT)
The Centers for Medicare & Medicaid Services established the Comprehensive Error Rate Testing (CERT) program to monitor and report the accuracy of Medicare fee-for-service (FFS) payments. The CERT program measures the error rate for claims submitted to Medicare contractors. One of the major outcomes of the CERT program is an annual paid claims error rate (percentage of dollars paid incorrectly). CGS uses information about top error categories to develop materials for providers, to help increase the accuracy of submitted claims.
To learn more about TPE, check out this 5 minute video!
Learn more about the Comprehensive Error Rate Testing (CERT) program through these resources:
- CERT Appeals
- CERT Claim Identifier (CID) Tool Enhancements
- CERT Contact Information
- CERT FAQs
- CERT Task Force
- CGS CERT Claim Identifier Tool
- Documentation Reminder for TAVR
- CMS CERT Program Web page
- CMS Provider Compliance Web page
- Complying with Documentation Requirements for Laboratory Services
- Comprehensive Error Rate Testing (CERT) and Physician's Orders
- Comprehensive Error Rate Testing (CERT) Program New Processes
- Late Signatures
- Medical Record Requests: Keys to Success
- NATIONAL Fiscal Year (FY) 2019 Medicare Fee-For-Service Improper Payment Rate is Lowest Since 2010
- PROLONGED SERVICES (CPT Codes 99354 – 99359)
- Responding to Documentation Requests from the Comprehensive Error Rate Testing (CERT) Documentation Contractor
- Signatures and Compliance: Practitioner Offices and Billing Services
- What Are Acceptable Electronic Signature Notations?
Visit the CERT Provider website for information on submitting documentation, timelines, sample letters, and FAQs.