October 31, 2013
Comprehensive Error Rate Testing (CERT) Documentation Submission: Update
Effective for all initial documentation request letters sent on or after January 1, 2014, providers and suppliers will have 60 days to submit medical documentation in response to initial documentation requests for claims selected by the Comprehensive Error Rate Testing (CERT) program. If no documentation is received by the 60th day, the claim will be considered a “no documentation” error and recoupment will be pursued.