Claims compliance and review

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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.

CERT related educational resources

First Coast provides a variety of CERT-related educational resources to assist providers with navigating CERT program requirements and achieving Medicare program compliance. Review our newest…

Breakdown of common Minimum Data Set (MDS) errors: Section A - C

The MDS is a tool used for implementing standardized assessment and for facilitating care management in skilled nursing homes and non-critical access hospital swing beds.

Breakdown of common Minimum Data Set (MDS) errors: Section A - C

The MDS is a tool used for implementing standardized assessment and for facilitating care management in skilled nursing homes and non-critical access hospital swing beds.

CERT related educational resources

First Coast provides a variety of CERT-related educational resources to assist providers with navigating CERT program requirements and achieving Medicare program compliance. Review our newest…

CERT Insider’s Guide - Part A Third Quarter 2025

Read the third quarter edition of the Insider's Guide to learn more about skilled nursing facility (SNF) CERT errors.

Fast facts: CERT support - who we are and what we do

Read this article to learn more about the CERT support team.

Fast facts: CERT support - who we are and what we do

Read this article to learn more about the CERT support team.

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 calculation.

Medically Unlikely Edits: Avoid denials and appeals by properly coding the first time

First Coast wants you to prevent claim denials or appeals by coding the appropriate number of units correctly the first time.