Fast facts: Appealing a CERT review decision
The Comprehensive Error Rate Testing (CERT) review contractor conducts a medical review of randomly sampled post-payment claims...
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Fast facts: Responding to CERT additional documentation requests
Read this article for information about responding to CERT documentation requests.
Physical therapy plan of care requirements
When billing for rehabilitation therapy services, there are some documentation requirements that must be met to comply with the...
Correct date of service for specific services
Physicians and non-physician practitioners need to identify the correct date of service for the services they provide to a...
National Correct Coding Initiative (NCCI)
The National Correct Coding Initiative (NCCI) was developed to promote national correct coding methodologies and to control...
CERT Insider's Guide - Part B Second Quarter 2025
Read the Part B second quarter edition of the CERT Insider's Guide to learn more about claim errors assessed during the CERT...
CERT awareness month: Verify your medical records correspondence address
Read this article to learn more about the CERT awareness month campaign focusing on verifying your mailing address.
New prior authorization code lookup tool now available
Use the new prior authorization code lookup tool to verify if the code is under a prior authorization program sponsored by CMS.
CERT Insider’s Guide – Part A Second Quarter 2025
Read the Part A second quarter edition of the CERT Insider's Guide to learn more about claim errors assessed during the CERT...
SafeGuard Services LLC selected as unified program integrity contractor for southeastern jurisdiction
Are you receiving additional documentation request (ADR) from SafeGuard Services LLC (SGS) or IntegriGuard? SafeGuard Services...