Corporate

Medical Review ContractorsMedical Review Contractors

The Centers for Medicare & Medicaid Services (CMS) utilizes a number of contractors to conduct medical review of claims and documentation, including:

  • Medicare Administrative Contractors (MACs), including CGS
  • Comprehensive Error Rate Testing (CERT) contractors
  • Recovery Auditors (RAs)
  • Zone Program Integrity Contractors (ZPICs)
  • Supplemental Medical Review Contractor (SMRC)
CERT

Comprehensive Error Rate Testing (CERT) contractors

Recovery Auditors

Recovery Audit Program

SMRC

Supplemental Medical Review ContractorExternal Website

ZPICS

ZPICS/UPIC

MAC

Medicare Administrative ContractorsExternal PDF

 

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