Comprehensive Error Rate Testing: New Process for Requesting Medical Records

INITIAL Additional Documentation Requests (ADR) letters for CERT are sent to the address on file with the MAC for the provider/supplier that billed/submitted the claim. SUBSEQUENT ADR letters for that claim can be sent to a specific correspondence address designated by the provider. This can be provided to the CERT CSR by calling 888-779-7477 once the provider receives the initial letter. These processes are based on each individual CID; providers will need to contact the CERT office as mentioned above for each sampled claim. Providers having at least ten PTAN/OSCAR numbers who would like to elect a single point of contact can participate in the “chain address” program recently implemented by CERT. In order to reduce provider burden, when a provider has multiple CERT requests with the same phone number, the CERT RC will group all requests together so that a single contact can be made with the provider(s) associated with that phone number to discuss all outstanding requests.

Source: https://www.ngsmedicare.com/ngs/portal/ngsmedicare/newngs/home-lob/pages/complianceandaudits/cert/cert-supporting/new process for requesting medical records/!ut/p/a1/rVLbUsIwEP2VvPjYSWjLxcdS0AFBxBtNX5g0WUoU0pqkOOPX21rHGwIyYyYvu3vm7Nndg2Mc4VixjUyZlZliqyqOW3M_GPQbjZBcTIZejwThZf9yNAgbZNzCMxzjeDQJMQ0zpYBbyQtb5R4KLY2QvCLCdPglQhdVXaVmNOliesW0Rd2PzDYRVza3S0zL8hpKCqaBZ8qCsgqeT8iX9FvMs3W-kkxxQEwJxAohrUEOMkWeZ9pKldYYDUtQRm4AgdaZRppZQBZMjSipUK4zDsagRVWFp6KuobrbClUytDCVxJxLgWkLTtsNLjwHmCscv-0TJ1kI3xE-cVtNlycLSOptfY4dYVrul-x4AfnT-r9BvEmHBP5Zt9ebXnnnXfcdsKcFLTW0dzbpN_HNkTMeIGzXhLNwPJ_e9a9L9NbZ6V730B_eob85h_5w17_pv_OPXsjw4BlLiSI198Np5QhXj8NxWnZgdulItchwdIQf8_W6471_JyIPzXzzchsEASQd4jUfZ6-lc-PS/dl5/d5/L2dBISEvZ0FBIS9nQSEh/?LOB=Part%20B&LOC=Connecticut&ngsLOB=Part%20B&ngsLOC=Connecticut&jurisdiction=Jurisdiction%20K