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Read the Part A second quarter edition of the CERT Insider's Guide to learn more about claim errors assessed during the CERT review process and ways to mitigate these errors in the future.
This edition includes information on complying with proof of delivery requirements, National Correct Coding Initiative October update, complying with Medicare signature requirements, and more.
Learn how to take advantage of the features of our exclusive E/M interactive worksheet and find the code that best represents the level of evaluation and management services (E/M) furnished during a patient’s visit.
CMS requires that any Medicare service provided or ordered must be authenticated by the author - the one who provided or ordered that service. This article outlines acceptable forms of authentication.
FOIA (Freedom of Information Act) found in Title 5 of the United States Code, section 552, and enacted in 1966, provides that, upon request from any person, a federal agency or federal contractor must release any record unless that record f…
This edition includes information on the Medicare Shared Savings Program, providers accepting CHAMPVA, national coverage determination 20.36, and more.
Prior to submitting your claim, verify the revenue code(s) and/or HCPCS or CPT code combination is correct, complete, and/or valid (as applicable).
The following reason codes are frequently associated with this edit:
View targeted probe and educate (TPE) round results for nail cutting / pairing and debridement (CPT 11055-11057, 11719-11721 & HCPC G0127).
DDE is designed for Medicare Part A providers. DDE will allow you to perform the following functions; claim entry, claim correction, claim status, claim adjustments, and inquiries.
View this special edition on recent CMS actions.