tci Medicare Compliance & Reimbursement - 2024 Issue Q1

CERT Quiz: Test Your Smarts On MACs’ Role In CERT Review Process

Hint: It’s complicated. As a Medicare provider, you may be accustomed to checking with the Medicare Administrative Contractor (MAC) in your jurisdiction for clarity on a variety of subjects — and that’s also the case with the Comprehensive Error Rate Testing (CERT) audit program. However, the part your MAC plays in the CERT review cycle can be confusing and stands apart from other Medicare audit types. That’s why understanding how your MAC factors into the CERT review process can be especially critical because these audits are complex, and you will likely need their guidance or input...

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