CMS Pub. 100-08, ch. 11, § 11.1.4.1

Report the costs associated with time spent on MIP CERT Support Activities. These

activities include but are not limited to the following:

o Providing review information to the CERT contractor as described in IOM Pub.

100-08, ch.12 § 3.3.2.

o Providing feedback information to the CERT contractor as described in IOM Pub.

100-08, ch.12, § 3.3.3 including but not limited to:

+ CMD discussions about CERT findings;

+ Participation in biweekly CERT conference calls;

+ Responding to inquiries from the CERT contractor; and

+ Preparing dispute cases.

o Preparing the Error Rate Reduction Plan (ERRP) as described in IOM Pub..100-

08, ch. 12, §3.9 (Do not include costs of developing MR Strategy or the Quarterly

Strategy Analysis (QSA). The cost of developing the MR Strategy and QSA shall be

captured in MR CAFM code 21207).

o Educating the provider community about CERT as described in IOM Pub. 100-

08, ch.12, § 3.8.

o Contacting non-responders and referring recalcitrant non-responders to the OIG

as described in IOM Pub. 100-08, ch.12, § 3.10.

Contractors shall NOT report costs associated with the following activities in this activity

code:

• Providing sample information to the CERT Contractor as described

in IOM Pub. 100-08, ch. 12, §3.3.1A&B (these costs should be allocated to the PM

CERT Support Code – 12901 -- described in the Appeals BPR);

• Ensuring that the correct provider address is supplied to the CERT

Contractor as described in IOM Pub. 100-08, ch. 12, §3.3.1.C (these costs should be

allocated to the PM CERT Support Code – 12901 -- described in the Appeals BPR);

Researching ‘no resolution’ cases as described in IOM Pub. 100-08, ch. 12, §3.3.1.B

(these costs should be allocated to the PM CERT Support Code – 12901 -- described in

the Appeals BPR).