Claims review programs
Fast facts: CERT claim sampling and review process
Read this article for information about CERT claim sampling and the review process.
Fast facts: CERT claim sampling and review process
Read this article for information about CERT claim sampling and the review process.
Fast facts: CERT documentation submission
Read this article to review some helpful information about the CERT program responding to additional documentation requests (ADRs).
Fast facts: CERT documentation submission
Read this article to review some helpful information about the CERT program responding to additional documentation requests (ADRs).
Complying with medical record documentation requirements
First Coast encourages providers to review this fact sheet designed to help providers understand how to provide accurate and supportive medical record documentation.
Complying with medical record documentation requirements
First Coast encourages providers to review this fact sheet designed to help providers understand how to provide accurate and supportive medical record documentation.
Fast facts: Appealing a CERT review decision
The Comprehensive Error Rate Testing (CERT) review contractor conducts a medical review of randomly sampled post-payment claims. If the claim was billed and paid correctly, the CERT review contractor…
Fast facts: Appealing a CERT review decision
The Comprehensive Error Rate Testing (CERT) review contractor conducts a medical review of randomly sampled post-payment claims. If the claim was billed and paid correctly, the CERT review contractor…
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.
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.