Fast facts: CERT support - who we are and what we do
Read this article to learn more about the CERT support team.
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Hospital off-campus outpatient department reporting requirements
Read this article to learn more about hospital off-campus outpatient department reporting requirements.
Understanding repetitive scheduled non-emergent ambulance transports
Review these FAQs to learn more about the prior authorization for repetitive scheduled non-emergency ambulance transport.
The SPOT User Guide: Section 4 - MBI Lookup
Providers must use the patient’s Medicare Beneficiary ID (MBI) for all transactions. Per CMS MBI education, there are three ways...
Process for pathology, laboratory, and other codes
Avoid negative impacts to your claims by providing the medical records for the laboratory and pathology code claim submissions...
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.
CERT Insider’s Guide
Read the December edition of the CERT Insider's Guide to learn more about the CERT program and the improper payment rate...
Pathology and laboratory codes requiring documentation
Avoid negative impacts to your claims by providing medical records with your initial claim submission for the pathology and lab...
Understanding prior authorization (PA) for certain hospital outpatient department (OPD) services
The following document was developed based on questions and answers posed during our webinars on the prior authorization (PA)...
PC-ACE training module: Entering a claim
The PC-ACE professional training module provides instructions necessary to set up and use the PC-ACE software.