Split or shared E/M guidelines: Medicare Claims Processing Manual updates
This article summarizes the Medicare E/M guidelines for split or shared E/M services effective in 2024.
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CERT Task Force: Overview presentation
The Comprehensive Error Rate Testing (CERT) A/B MAC Outreach & Education Task Force, a collaboration of all Part A and Part B...
Revision to social determinants of health risk assessment (HCPCS code G0136)
CMS recently revised the code descriptor for HCPCS code G0136 to remove the social determinants of health risk (SDOH) assessment...
Medically Unlikely Edits: Avoid denials and appeals by properly coding the first time
First Coast wants you to prevent claim denials or appeals by coding the appropriate number of units correctly the first time.
Collaborative patient care is a provider partnership
Understanding applicable Medicare coverage criteria for medical necessity and documentation guidelines for healthcare services...
Complying with medical record documentation requirements
First Coast encourages providers to review this fact sheet designed to help providers understand how to provide accurate and...
Breakdown of common Minimum Data Set (MDS) errors: Section A - C
The MDS is a tool used for implementing standardized assessment and for facilitating care management in skilled nursing homes...
Prolonged physician services: Hospital inpatient or observation care services
Learn more about billing Medicare for prolonged hospital inpatient or observation care E/M services exceeding the maximum time...
CERT Insider's Guide - Part B Third Quarter 2025
Read this third quarter edition of the Insider's Guide to learn more about CERT errors for ambulance, chiropractic, and drugs...
Fast facts: CERT claim sampling and review process
Read this article for information about CERT claim sampling and the review process.