Michigan Physical Therapy Association...Fostering the advancement of physical therapy practice, research, and education

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MPTA Mission
The Michigan Physical Therapy Association is a professional organization representing physical therapists, physical therapist assistants and students who have joined together to assure that high ethical professional standards are maintained and that quality health care in the areas of prevention, education and rehabilitation of movement dysfunction and wellness are received for all consumers in the state of Michigan.

Home > Reimbursement > Information on CERT Documentation Requests-All Providers

Information on CERT Documentation Requests-All Providers
from Rick Gawenda - State and Federal Legislative Committee and Bylaws Procedure Committee

Effective October 11, 2005 the Comprehensive Error Rate Testing Program (CERT) will transition documentation handling of new medical record requests and receipts from the CERT Contractor in Richmond, Virginia to the CERT Contractor in Annapolis Junction, Maryland. Please note the following instructions:

Please refer to the Request for Medical Records letter to ensure prompt and accurate medical record submission
The fax number (preferred method) for submitting medical records to the Maryland CERT contractor is (240) 568-6222. The CERT contractor will send a letter to the provider confirming receipt of the faxed medical records.
The correct address for submitting medical records via mail. Some providers may receive requests from two different contractors during this transition period. Mailed medical records are at the providers expense.
Submit All Medical Records for the claim date of service requested. Submission of partial medical records will result in a denial for insufficient information.
Include the bar code cover sheet with the medical records
Submit the medical records timely to avoid claim denial.
Failure to respond to requests for medical records by the CERT Contractor will result in recoupment or denial of payment to the provider.

Compliance with the CERT program is mandated by the Centers for Medicare and Medicaid Services and does not violate HIPAA.

UGS suggests that providers select individuals in their organizations to be accountable for responding to CERT Contractor requests. For more information, visit the CMS CERT Web site new window opens a new window

Reimbursement Resources

Basic Reimbursement Steps
Advocacy
Information on CERT Documentation Requests-All Providers
Reimbursement Efforts
Medicaid
Medicare
Code of Federal Regulations new
Reimbursement Resources
FAQ Page
New Questions Added!

Michigan Physical Therapy Association 3300 Washtenaw Avenue, Suite 220, Ann Arbor, Michigan 48104
Phone: (734) 929-6075 or (800) 242-8131 - Fax: (734) 677-2407 - E-mail: mpta@mpta.com

		Join MPTA/APTA Join the Listserv Visit APTA Career Center Contact MPTA

	Districts\|Committees\|Resources\|Publications/Advertising\|About MPTA
Webmpta.com MPTA Mission The Michigan Physical Therapy Association is a professional organization representing physical therapists, physical therapist assistants and students who have joined together to assure that high ethical professional standards are maintained and that quality health care in the areas of prevention, education and rehabilitation of movement dysfunction and wellness are received for all consumers in the state of Michigan.	Home > Reimbursement > Information on CERT Documentation Requests-All Providers Information on CERT Documentation Requests-All Providers from Rick Gawenda - State and Federal Legislative Committee and Bylaws Procedure Committee Effective October 11, 2005 the Comprehensive Error Rate Testing Program (CERT) will transition documentation handling of new medical record requests and receipts from the CERT Contractor in Richmond, Virginia to the CERT Contractor in Annapolis Junction, Maryland. Please note the following instructions: Please refer to the Request for Medical Records letter to ensure prompt and accurate medical record submission The fax number (preferred method) for submitting medical records to the Maryland CERT contractor is (240) 568-6222. The CERT contractor will send a letter to the provider confirming receipt of the faxed medical records. The correct address for submitting medical records via mail. Some providers may receive requests from two different contractors during this transition period. Mailed medical records are at the providers expense. Submit All Medical Records for the claim date of service requested. Submission of partial medical records will result in a denial for insufficient information. Include the bar code cover sheet with the medical records Submit the medical records timely to avoid claim denial. Failure to respond to requests for medical records by the CERT Contractor will result in recoupment or denial of payment to the provider. Compliance with the CERT program is mandated by the Centers for Medicare and Medicaid Services and does not violate HIPAA. UGS suggests that providers select individuals in their organizations to be accountable for responding to CERT Contractor requests. For more information, visit the CMS CERT Web site new window.	Reimbursement Resources Basic Reimbursement Steps Advocacy Information on CERT Documentation Requests-All Providers Reimbursement Efforts Medicaid Medicare Code of Federal Regulations new Reimbursement Resources FAQ Page New Questions Added!
	Michigan Physical Therapy Association 3300 Washtenaw Avenue, Suite 220, Ann Arbor, Michigan 48104 Phone: (734) 929-6075 or (800) 242-8131 - Fax: (734) 677-2407 - E-mail: mpta@mpta.com