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...
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Credit Balance Status tool instructions
View this document to learn more about the Credit Balance Status tool.
Quarterly credit balance reports no longer required
Effective December 1, 2024, providers are no longer required to submit quarterly credit balance reports.
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...
Opening a secure email message from ZIX
Due to problems with some organizations not being able to access the SecureZIP® files, an alternate secure website has been...
Provide your correct PTAN when contacting provider customer service
Make sure to provide your correct PTAN in the proper format when contacting us for any claim-related inquiries. PTANs that have...
SNF Spotlight: CERT top denial reasons for SNF reviews
Here are the Comprehensive Error Rate Testing (CERT) top denial reasons for Skilled Nursing Facility (SNF) reviews.
MLN Connects for April 3, 2025
This edition includes information on lower limb orthoses claim denials, new contact information for the external user services...
CERT Insider's Guide – Part B First Quarter 2025
Read the Part B first quarter edition of the CERT Insider's Guide to learn more about claim errors assessed during the CERT...
End stage renal disease (ESRD): Payment for phosphate binders effective January 1
Effective January 1, phosphate binders are paid as a renal dialysis service under Medicare Part B. Read this article to learn...