ADR (Additional documentation requests)
Find information and resources that will help you properly respond to additional documentation requests within required...
CERT awareness month: Steps to take if you get a CERT documentation request
Read this article to learn more about the CERT awareness month campaign focusing on responding to CERT documentation requests.
LCDs / Medical policy
Find news about local and national coverage determinations, learn how to search the Medicare coverage database, use the...
Disaster information
Learn the latest news and information you need to prepare, plan, and stay informed in case of a man-made or natural disaster.
Renewal of resources and flexibilities to assist with the public health emergency in the state of Georgia in response to hurricane Helene
DHHS authorizes an extension of Medicare fee-for-service (FFS) response to hurricane Helene for the state of Georgia.
LCD interactive index: Proposed
Use the LCD interactive index tool to search by LCD ID, keyword (title only), or HCPCS code to locate LCDs
Targeted probe and educate (TPE) round results: End stage renal disease (ESRD) (CPT 90960)
View targeted probe and educate (TPE) round results for end stage renal disease (ESRD).
Targeted probe and educate (TPE) round results: End stage renal disease (ESRD) (CPT 90999)
Review the top denial / partial denial reasons and high-level results listed below from each round of JN ESRD TPE reviews.
Skilled nursing facility (SNF) 5-claim probe and educate (P&E) round results
View this article to view the results for the SNF 5-claim probe and educate (P&E).