Medicare Program Integrity Manual (Pub. 100-08), Ch. 12 § 12.8

Disseminating CERT Information

Last amended: 2021Year: 2021Length: 92 wordsOfficial source
12.8 – Disseminating CERT Information (Rev. 10567; Issued: 01-20-21; Effective: 01-18-21; Implementation: 01-29-21) This section applies to Medicare Administrative Contractors (MACs) and Comprehensive Error Rate Testing (CERT) as indicated. Each MAC shall disseminate information concerning the CERT program to the provider community. Each MAC shall educate the provider community about the CERT program and the importance of responding to CERT requests for medical documentation. A MAC shall disclose the review status and the result of a review to the provider upon request. The MAC shall obtain the review information from the C3HUB.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 12 § 12.8: Disseminating CERT Information | Justis AI