Claims compliance and review

CMS 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…

This article has resources available for verifying the status of your CERT review.

This article has resources available for verifying the status of your CERT review.

Read the Part A first quarter edition of the CERT Insider's Guide to learn more about claim errors assessed during the CERT review process and ways to mitigate these errors in the future.

Read the Part B first quarter edition of the CERT Insider's Guide to learn more about claim errors assessed during the CERT review process and ways to mitigate these errors in the future.

Read this article for information about CERT claim sampling and the review process.

Read this article for information about CERT claim sampling and the review process.

Read this article to review some helpful information about the CERT program responding to additional documentation requests (ADRs).

Read this article to review some helpful information about the CERT program responding to additional documentation requests (ADRs).

First Coast encourages providers to review this fact sheet designed to help providers understand how to provide accurate and supportive medical record documentation.