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.
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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...
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.
First Coast supports compliance awareness during the month of March
Our Medicare Navigator Program is back with webinars focused on supporting providers to successfully navigate Medicare program...
Fast facts: CERT documentation submission
Read this article to review some helpful information about the CERT program responding to additional documentation requests...
CERT program
CMS established the Comprehensive Error Rate Testing (CERT) program to monitor and report the accuracy of Medicare fee-for...
Breakdown of common Minimum Data Set (MDS) errors: Sections D - E - GG
Sections D - E - GG
Section D: Mood
D0150 Resident Mood Interview (PHQ-2 to 9©)
- Supportive documentation within the record; nurse...
Additional review programs
Learn about other review programs including, recovery audit and fraud and abuse prevention.