UB-04 billing information
The Official UB-04 Data Specifications Manual 2025, copyrighted by the American Hospital Association, is the only official...
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CERT awareness month: 2025 CERT documentation deadline
Read this article to learn more about the CERT awareness month campaign focusing on responding to CERT documentation requests.
Understanding E/M office or other outpatient services
The A/B MACs partnered together to answer practitioners’ top questions related to evaluation and management (E/M) office and...
Targeted probe and educate (TPE) round results: Major hip and knee replacement (DRG 470)
Review the top denial / partial denial reasons and high-level results from each round of DRG 470 TPE.
Targeted probe and educate (TPE) round results: Evaluation and management services – emergency department visits
Review the top denial / partial denial reasons and high-level results of evaluation and management services – emergency...
CERT Insider's Guide - Part B Second Quarter 2025
Read the Part B second quarter edition of the CERT Insider's Guide to learn more about claim errors assessed during the CERT...
Hepatitis B vaccination
Payment for the hepatitis B vaccine and its administration is only available to Medicare beneficiaries who are at high or...
CERT Insider’s Guide – Part A Second Quarter 2025
Read the Part A second quarter edition of the CERT Insider's Guide to learn more about claim errors assessed during the CERT...
Fast facts: Responding to CERT additional documentation requests
Read this article for information about responding to CERT documentation requests.