Last Modified: 4/2/2019
Location: FL, PR, USVI
Business: Part A, Part B
The Centers for Medicare & Medicaid Services (CMS) established the comprehensive error rate testing (CERT) program to calculate a national paid claims error rate for the Medicare fee-for-service program. The CERT program calculates the error rates for all Medicare contractors.
AdvanceMed, the comprehensive error rate testing (CERT) review contactor, also operates the CERT documentation center, effective October 14, 2016. Effective October 7, 2016, all CERT inquires and medical records should be sent to AdvanceMed. For more information, visit the CERT website
. AdvanceMed will be responsible for:
• Reviewing the selected claims and associated medical record documentation; and
• Requesting and receiving the medical record documentation from providers
The preferred method for submitting medical records/documentation to AdvanceMed is via FAX to:
To request additional time for faxing the required medical records/documentation or to contact the CERT contractor, please call:
Requested medical records/documentation may be mailed to:
CERT Documentation Center
Attn CID #: xxxxxx (write the control identification [CID] number indicated in your CERT contractor letter)
1510 East Parham Road
Henrico, VA 23228
Note: Please follow the specific instructions for submitting requested medical records/documentation provided with your CERT contractor letter.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.