What happens if a provider fails to respond to the “Request for additional Documentation/Tech Stop”?
As with any other CERT record request, failure to submit the requested documentation within the allotted timeframe could result in services being reduced or denied, an overpayment adjustment, and the possibility of a referral to the Office of Inspector General (OIG). It is very important that providers respond to all CERT record requests within the allotted timeframes. For additional documentation on CERT, please refer to the WPS Medicare website at http://www.wpsmedicare.com/mac/business/mr_cert.shtml.
Related Questions
- Once a provider receives an additional documentation request from DCS, how long will they have to respond?
- What happens if a provider fails to respond to the "Request for additional Documentation/Tech Stop"?
- What happens if a provider fails to respond to the "Tech Stop" request for additional documentation?
