Actually we correct every denied cert (about 1 in 100). There are some really silly denials out there from LARA. I've seen two perfectly filled out certs denied in the last week for unknown causes, calls to Lara don't get answers, but they are cheerfully redone and resubmitted. Some are rejected because the wrong SS paperwork was sent in by the patient. Or the caregiver checked rather than initialed the attestation. Or there was an error by the office or me like a box not checked, failure to sign or date the cert, etc. Errors are few and far between. As for the tracking, patients don't have to submit their name with the feedback, but the program does confirm they were an actual patient.
Don't forget there are some unqualified patients as well that don't get certified (or charged) that may be upset. But mostly it is the folks that don't like the standards I support or me personally that tend to scream the loudest. Can't please everyone all the time.
Take care, back the the MMMA I go. Not here to bicker with folks. I mostly just stop by here to see what is going on in this segment of the community.
Dr. Bob