Claims compliance and review

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SafeGuard Services LLC selected as unified program integrity contractor for southeastern jurisdiction

Are you receiving additional documentation request (ADR) from SafeGuard Services LLC (SGS) or IntegriGuard? SafeGuard Services is responsible for combating and preventing fraud, waste, and abuse in…

SafeGuard Services LLC selected as unified program integrity contractor for southeastern jurisdiction

Are you receiving additional documentation request (ADR) from SafeGuard Services LLC (SGS) or IntegriGuard? SafeGuard Services is responsible for combating and preventing fraud, waste, and abuse in…

Comprehensive Error Rate Testing (CERT) checklists

These checklists are intended to provide health care providers with a reference for use when responding to CERT documentation requests for the selected claim sample.

Comprehensive Error Rate Testing (CERT) checklists

These checklists are intended to provide health care providers with a reference for use when responding to CERT documentation requests for the selected claim sample.

Recovery Audit Program

Who / what is a recovery auditor? 

Recovery Audit Program

Who / what is a recovery auditor? 

Tools & forms: Compliance / Review

Access tools and forms related to the prior authorization program, CERT, and provider audit.

Tools & forms: Compliance / Review

Access tools and forms related to the prior authorization program, CERT, and provider audit.

Fast facts: CERT C3HUB provider website overview

Read this article for information about the CERT C3HUB website.

Fast facts: CERT C3HUB provider website overview

Read this article for information about the CERT C3HUB website.