The Comprehensive Error Rate Testing (CERT) CID lookup was developed so providers can obtain a status of their CERT sampled claims. This tool provides information for sampled claims where a decision has been made by the CERT review contractor or is pending review.
The Part A/B MACs joined forces to communicate national issues of concern regarding improper payments to the Medicare program, resulting in the creation of the A/B contractor Comprehensive Error Rate Testing (CERT) task force.
Medical records may be requested by the CERT or other Medicare contractors. You may use the following links to access medical documentation checklists to assist you in responding to requests for medical records.
Medical Documentation Request -- This course addresses key components of the documentation request, including timeframes in which to respond to requests, recommended items to include, and acceptable submission methods.
Evaluation & Management (E/M) Documentation Part 1 and Part 2 (Part B) -- Take this course to learn about the documentation guidelines, key components of E/M services, and documenting medical necessity.
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.