Targeted probe and educate round results: Annual wellness visits (AWV)
Top denial / partial denial reasons and high-level results are listed below from each round of annual wellness visits (AWV)...
Puerto Rico POE-AG meeting minutes - July 23, 2025
Review minutes from the Part A/B Provider Outreach and Education Advisory Group (POE-AG) meeting for Puerto Rico. Minutes are in...
MLN Connects for July 24, 2025
This edition includes information on 2025 quality conference highlights, remote patient monitoring billing, hospice fast facts...
Medical review activities
Service-specific reviews
First Coast is tasked with preventing inappropriate Medicare payments. One of the ways this is conducted...
Additional review programs
Learn about other review programs including, recovery audit and fraud and abuse prevention.
Compliance & review programs
Learn about various programs which focus on ensuring Medicare compliance. Topics include: Comprehensive error rate testing (CERT...
Response to the severe storms, straight-line winds, and flooding in the state of Texas
CMS announces resources and flexibilities to assist with the public health emergency in the state of Texas.
Targeted probe and educate (TPE) round results: Ambulance services - basic life support non-emergent transport and mileage (HCPCS A0428 and A0425)
View targeted probe and educate (TPE) round results for ambulance services: basic life support non-emergent transport and...
CERT awareness month: Verify your medical records correspondence address
Read this article to learn more about the CERT awareness month campaign focusing on verifying your mailing address.