Medical necessity requirements for skilled nursing facility (SNF) admissions
This questionnaire is intended to provide health care providers with a reference for use when screening a new patient for a SNF...
This questionnaire is intended to provide health care providers with a reference for use when screening a new patient for a SNF...
View this document to learn more about the Credit Balance Status tool.
Effective December 1, 2024, providers are no longer required to submit quarterly credit balance reports.
Read the December edition of the CERT Insider's Guide to learn more about the CERT program and the improper payment rate...
Due to problems with some organizations not being able to access the SecureZIP® files, an alternate secure website has been...
Make sure to provide your correct PTAN in the proper format when contacting us for any claim-related inquiries. PTANs that have...
Here are payment allowances for ambulance services for services provided January 1-December 31, 2025.
Here are payment allowances for ambulance services for services provided January 1-December 31, 2024.
Here are the Comprehensive Error Rate Testing (CERT) top denial reasons for Skilled Nursing Facility (SNF) reviews.
This edition includes information on lower limb orthoses claim denials, new contact information for the external user services...