Understanding applicable Medicare coverage criteria for medical necessity and documentation guidelines for healthcare services is extremely important for the accurate and timely processing and payment of claims. Partnering with Medicare can help accomplish that.
Understanding applicable Medicare coverage criteria for medical necessity and documentation guidelines for healthcare services is extremely important for the accurate and timely processing and payment of claims. Partnering with Medicare can help accomplish that.
View this video, presented by the CERT A/B MAC Outreach and Education Task Force, to gain an understanding of the need and importance of medical record documentation to support services billed. Learn about the leading documentation errors identified through the CERT program and how to improve medical record documentation.
The CERT A/B MAC Outreach & Education Task Force recently published the guide, “Caring for Medicare Patients is a Partnership” to educate physicians and non-physician practitioners that may order, refer and /or provide services for patients in partnership with other health care providers, guidance on documentation guidelines and Medicare coverage criteria.
First Coast encourages providers to review this fact sheet designed to help providers understand how to provide accurate and supportive medical record documentation.
The CERT A/B MAC Outreach & Education Task Force recently published the guide, “Complying with documentation requirements for laboratory services” to educate laboratories and ordering/referring physicians on documentation requirements for laboratory services. Read more to learn about the improper payments for laboratory services identified by the Comprehensive Error Rate Testing (CERT) program due to documentation errors.
The Comprehensive Error Rate Testing (CERT) A/B MAC Outreach & Education Task Force, a collaboration of all Part A and Part B MACs, has published a presentation providing you with an overview of the task force purpose, updates on new educational products that are available and how providers will benefit from this collaboration.
View this video posted by the CERT A/B Task Force for assistance with the CERT process.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.
