Fast facts: Checking the status of your CERT review
This article has resources available for verifying the status of your CERT review.
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Nursing facility E/M services
Nursing facilities include skilled nursing facilities, psychiatric residential treatment centers, and immediate care facilities...
What to do when you can't locate your claim
Would you like to reduce the time you spend contacting Medicare? Having difficulties locating a claim? Here's some tips to help...
Tips to prevent claim adjustment reason code (CARC) PR 49
Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 49.
Inpatient hospital entitlement changes
When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will...
New version of the CMS-855O released
CMS has released an updated version of the CMS-855O application (09/23). Learn about the effective dates for the old and new...
POS 19 added for preventive, CR, and ICR services
Change request (CR) 14070, effective June 23, 2025, reflects the addition of POS 19 allowed for preventive services, CR, and ICR...