Claims compliance and review

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Physical therapy plan of care requirements

When billing for rehabilitation therapy services, there are some documentation requirements that must be met to comply with the reasonable and necessary definition.

Fast facts: CERT comparative analysis reports

Read this article for information about the CERT comparative analysis reports.

Fast facts: CERT comparative analysis reports

Read this article for information about the CERT comparative analysis reports.

CERT Insider's Guide - Part B Fourth Quarter 2025

Read the fourth quarter edition of the CERT Insider's Guide to learn more about the CERT program and the improper payment rate calculation.

CERT A/B MAC Outreach & Education Task Force

The nation's leading MACs have joined together to create the CERT A/B MAC Outreach & Education Task Force. This unified educational initiative benefits providers as well as the Medicare program.

CERT A/B MAC Outreach & Education Task Force

The nation's leading MACs have joined together to create the CERT A/B MAC Outreach & Education Task Force. This unified educational initiative benefits providers as well as the Medicare program.

Recovery Audit Program

Who / what is a recovery auditor? 

Recovery Audit Program

Who / what is a recovery auditor? 

Fast facts: Valid CERT/CMS communications

Read this article for information about communication impacts from the CERT contractor.

Fast facts: Valid CERT/CMS communications

Read this article for information about communication impacts from the CERT contractor.