Comprehensive Error Rate Testing (CERT) checklists
These checklists are intended to provide healthcare providers with a reference for use when responding to CERT documentation...
Articles
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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...
Fast facts: Checking the status of your CERT review
This article has resources available for verifying the status of your CERT review.
SafeGuard Services LLC selected as unified program integrity contractor for southeastern jurisdiction
SafeGuard Services LLC (SGS) is responsible for combating and preventing fraud, waste, and abuse in the southeastern...
Reporting the national drug code
Read this article for helpful information to report the national drug code on claims.
Billing for Rebyota fecal microbiota, live-jslm, HCPCS code J1440 -- Avoid rejections
Previous instructions to bill Rebyota fecal microbiota, live-jslm with HCPCS G0455, expired effective June 30, 2023. Instead...
Bill infectious disease panels correctly
First Coast identified several errors when providers bill for infectious disease panels. Read this article to learn more about...
Avoid negative impacts to your claims -- review billing and coding article A58918 molecular pathology and genetic testing
View this important information you must know if you bill for molecular pathology and genetic testing. This article was updated...
National Correct Coding Initiative (NCCI)
The National Correct Coding Initiative (NCCI) was developed to promote national correct coding methodologies and to control...
Clinical trials background
Medicare covers the routine costs of qualifying clinical trials, as such costs are defined in National Coverage Determination...