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.
Customer service hours of availability for U.S. Virgin Islands and Puerto Rico providers
With daylight saving time beginning, the Provider Contact Center hours of operation will be modified for providers in the U.S...
This information is located under Policy & Review Programs, Prior Authorization, Hospital OPD Services.
MLN Connects for September 25, 2025
This edition includes information on cognitive assessments for patients, preventing claim denials for manual wheelchairs, 2026...
The information is located under Compliance & Review Programs, Prior Authorization (PA) Ambulance RSNAT and the
Fast facts: CERT support - who we are and what we do
Read this article to learn more about the CERT support team.
Hospital off-campus outpatient department reporting requirements
Effective July 6, 2026, outpatient claims with type of bills (TOB) 13X or 14X will be returned to provider (RTP) for reason code...
MLN Connects for September 18, 2025
View this edition for information regarding critical access hospitals, prostate cancer screenings, and the October update of the...
Rhinoplasty and related services
Nasal surgery is any procedure performed on the external or internal structures of the nose, septum or turbinate.
2025 payment rates for opioid treatment program (OTP)
This article contains the allowances for opioid treatment program services for service dates January 1 through December 31, 2025...