Fast facts: CERT C3HUB provider website overview
Read this article for information about the CERT C3HUB website.
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CERT awareness month: We appreciate your efforts
Read this article to learn more about the CERT awareness month campaign. We thank you for your efforts.
Targeted probe and educate round results: Annual wellness visits (AWV)
Top denial / partial denial reasons and high-level results are listed below from each round of annual wellness visits (AWV)...
Puerto Rico POE-AG meeting minutes - July 23, 2025
Review minutes from the Part A/B Provider Outreach and Education Advisory Group (POE-AG) meeting for Puerto Rico. Minutes are in...
MLN Connects for July 24, 2025
This edition includes information on 2025 quality conference highlights, remote patient monitoring billing, hospice fast facts...
Medical review activities
Service-specific reviews
First Coast is tasked with preventing inappropriate Medicare payments. One of the ways this is conducted...
Targeted probe and educate (TPE) round results: Ambulance services - basic life support non-emergent transport and mileage (HCPCS A0428 and A0425)
View targeted probe and educate (TPE) round results for ambulance services: basic life support non-emergent transport and...
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.
MLN Connects for July 17, 2025
This edition includes information on preventing claim denials for ostomy supplies, revised ZIP code files for CBSAs, chronic...
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)...