tci Part B Insider - 2005 Issue 44

CERT Program Not Consistent, OIG Says

If the Comprehensive Error Rate Testing auditor didn't do a good job of following up with you about its documentation requests, then you're not alone.CERT contractor AdvanceMed didn't always follow up via phone in many cases if you failed to send in medical records after the first request, complains the HHS Office of Inspector General. But AdvanceMed did a better job of completing quality assurance reviews properly than it did the last time the OIG looked at it.The Centers for Medicare & Medicaid Services could be doing a better job of making sure that the CERT program...

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