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CERT
CERTCERT
Modified: 4/12/2010
The Comprehensive Error Rate Testing (CERT) program was established by the Centers of Medicare & Medicaid Services (CMS) to calculate the error rates for all Medicare administrative contractors (MACs), carriers, and fiscal intermediaries.
Modified: 4/12/2010
This list contains reports produced by the Comprehensive Error Rate Testing (CERT) program, including the annual Improper Medicare Fee-for-Service Payment report.
Modified: 1/19/2012
First Coast Service Options Inc. (FCSO) implemented prepayment edits on 15 inpatient Medicare severity-related diagnosis-related groups (MS-DRG), beginning January 2012. This article provides the DRGs, the percentage of review for each, and the dates on which prepayment reviews will commence.
Modified: 1/4/2012
Find current information regarding these demonstrations on the dedicated Web page. [TDL 12167]
Modified: 12/30/2011
Based upon feedback from providers, the Centers for Medicare & Medicaid Services has decided to delay implementation of the prepayment review and prior authorization for power mobility devices demonstration as well as the recovery audit prepayment review demonstration. However, the Part A to Part B rebilling demonstration will begin January 1, 2012, as scheduled. [PERL 201112-59]
Modified: 12/15/2011
First Coast Service Options (FCSO) estimates an improper payment error rate of 39 percent for chiropractic services in Florida for the November 2011 CERT report.
Modified: 12/14/2011
First Coast Service Options Inc. (FCSO) will implement a prepayment medical review edit for Healthcare Common Procedure Coding System (HCPCS) code A0428 with modifier HN representing a transport from the hospital to an extended care facility (ECF) or skilled nursing facility (SNF).
Modified: 12/11/2011
Beginning in January 2012, First Coast Service Options Inc. (FCSO) will take a staggered approach to implementing prepayment edits on 15 inpatient Medicare severity-related diagnosis-related groups (MS-DRG). In addition, effective February 1, 2012, FCSO will perform postpayment review/recoupment of the admitting physician's and/or surgeon's Part B services.
Modified: 12/2/2011
First Coast Service Options (FCSO) offers this series of online Medicare courses to help providers acquire a better understanding of the Comprehensive Error Rate Testing (CERT) program and learn how to bill for Medicare services more proficiently. The new "Medical Documentation Request course," which was revised in June 2011, is essential training for any provider who has ever received this type of request from Medicare.
Modified: 11/28/2011
The Office of the Inspector General (OIG) and other federal agencies have emphasized the importance of voluntarily developed and implemented compliance plans. The OIG has supplied guidance as to the elements of a model compliance plan.
Modified: 11/28/2011
This fact sheet is designed to provide education on outpatient rehabilitation therapy services to Medicare fee-for-service providers and includes information on the documentation needed to support a claim submitted to Medicare for medical services. [PERL 201106-41]
Modified: 11/16/2011
This government website addressing payment accuracy has been created to centralize information, guidance, and other useful resources addressing improper payments made to individuals, organizations, and contractors.
Modified: 7/18/2011
The CERT contractor continues to report the number one reason overpayment letters are sent to providers is because of reasons found in this article. We encourage our providers to save time and money by reviewing the tips provided.
Modified: 4/4/2011
Learn more about the comprehensive error rate testing (CERT) program with this helpful overview from the Centers for Medicare & Medicaid Services (CMS).
Modified: 2/18/2011
First Coast Service Options has seen an increase in the number of CBC service coding errors.
Modified: 1/14/2011
This guide shows the end-to-end CERT process, to include how to respond to medical records requests.
Modified: 6/27/2010
Options on how to contact the CERT documentation contractor
Modified: 6/24/2010
Review questions and answers pertaining to the Comprehensive Error Rate Testing (CERT) program.
