Medicare Program Integrity Manual (Pub. 100-08), Ch. 12 § 12.7

Annual Certification of CERT Information

Last amended: 2024Year: 2024Length: 149 wordsOfficial source
12.7 –Annual Certification of CERT Information (Rev. 12642; Issued: 05-16-24; Effective: 06-17-24; Implementation: 06-17-24) This section applies to Medicare Administrative Contractors (MACs) and Comprehensive Error Rate Testing (CERT) as indicated. Annually, by September 30th, MACs shall submit a certification that all required information (e.g., overpayments and underpayments identified by CERT, MAC feedback, appeals, and recoveries) has been completely and accurately entered on the C3HUB. The MAC’s Certifying Official (for example, President, Senior VP, or Contract Project Manager) shall sign the certification and submit it to CMS as instructed in the MAC statement of work deliverable schedule. Certification statements shall include the following: • MAC Name • Contractor/Jurisdiction Number • Date certification submitted to CMS: [MM/DD/CCYY] • Fiscal Year [include the appropriate year] • Name of MAC Certifying Official • Title of MAC Certifying Official • A statement certifying the completeness and accuracy of the information entered in the C3HUB
Medicare Program Integrity Manual (Pub. 100-08), Ch. 12 § 12.7: Annual Certification of CERT Information | Justis AI