CERT Program Processing CERT program ensures a statistically valid random sample; therefore, the improper payment rate calculated from this sample is considered to reflect all claims processed by the Medicare FFS program during the report period. The sample of Medicare FFS claims is reviewed by an independent medical review contractor to determine if they were … Read More →
Certification Test Program and Annual Recertification Activities For CMS Trading Partners Certification Test Program and Annual Recertification is initiated by CMS and is comprised of the following: use cases, test cases, and associated test data files to verify that each A/B MACs, DME MACs, or other contractors if designated by CMS is ready to receive … Read More →


