Articles

Learn about other review programs including, recovery audit and fraud and abuse prevention.

Access tools and forms related to the prior authorization program, CERT, and provider audit.

Read this third quarter edition of the Insider's Guide to learn more about CERT errors for ambulance, chiropractic, and drugs...

Inpatient hospital short stay patient status reviews for acute care inpatient hospitals, long-term care hospitals, and inpatient...

Read the fourth quarter edition of the CERT Insider's Guide to learn more about the CERT program and the improper payment rate...

The MDS is a tool used for implementing standardized assessment and for facilitating care management in skilled nursing homes...

Read the Part A first quarter edition of the CERT Insider's Guide to learn more about claim errors assessed during the CERT...

Read this article for information about the CERT comparative analysis reports.

Read the fourth quarter edition of the CERT Insider's Guide to learn more about the CERT program and the improper payment rate...

Read this article for information about communication impacts from the CERT contractor.