Claims compliance and 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.

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

The Comprehensive Error Rate Testing (CERT) review contractor conducts a medical review of randomly sampled post-payment claims. If the claim was billed and paid correctly, the CERT review contractor…