October 10, 2006
NEW Schedule of CERT (Comprehensive Error Rate Testing) Documentation Contractor (CDC) Calls and Medical Request Letters
Beginning 11/01/2006 the schedule for sending requests for medical records process will be changed from 90 days to 75 days. Providers will be asked to submit their medical record documentation in accordance with the following new time standards.
Day 0: Initial Call/Letter
Day 30: Second Call/Letter
Day 45: Third Call/Letter
Day 60: OIG Letter
Day 76: Claim scored in error
| Present Schedule | |
|---|---|
| Day 0 | Initial Call/Letter |
| Day 30 | Second Call/Letter |
| Day 50 | Third Call |
| Day 60 | Third Letter |
| Day 75 | OIG Letter |
| Day 91 | Claim scored in error |
| New Schedule on 11/01/2006 | |
|---|---|
| Day 0 | Initial Call/Letter |
| Day 30 | Second Call/Letter |
| Day 45 | Third Call/Letter |
| Day 60 | OIG Letter |
| Day 76 | Claim scored in error |
