ED Coding & Reimbursement Alert - 2022 Issue 17
Industry Notes: Submit CERT 2022 Redetermination ASAP
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Article Overview
This article covers a Medicare compliance deadline related to the CERT program and summarizes reminders from Medicare Administrative Contractors about submitting redetermination requests for the 2022 report year. It is aimed at providers, suppliers, and billing staff who track Medicare audit and appeal-related deadlines, and it highlights the role of CMS and MACs in the CERT process and related filing expectations.
Why This Topic Matters
Missing a CERT redetermination deadline can affect whether a submission is considered for the report year and may delay processing of documentation. The update is relevant for organizations managing Medicare claims compliance and administrative review workflows.
What You Will Learn
- What the CERT program is generally used for
- Why report-year redetermination timing matters
- What role MACs and CMS play in the CERT process
- What kinds of administrative reminders providers should check before submitting documentation
Who Should Read This
- Providers
- Suppliers
- Billing staff
- Revenue cycle teams
- Compliance staff
- Medicare claims administrators
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