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View targeted probe and educate (TPE) round results for end stage renal disease (ESRD).
Review the top denial/partial denial reasons and high-level results of wound debridement (CPT 11042-11045) TPE round results for December 2022 - May 2023.
Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.
Review minutes from the Part A/B Provider Outreach and Education Advisory Group (POE-AG) meeting for Puerto Rico. Minutes are in Spanish only.
Read this article for information about communication impacts from the CERT contractor.
Each year, First Coast invites members of the provider community to join the provider outreach and education advisory group for their geographic area. This document lists the members of Puerto Rico’s Part A and Part B advisory groups.
This edition includes information on 2026 premiums and deductibles, critical access hospitals, lung cancer, and more.
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2025.
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2026.
Read the December edition of the CERT Insider's Guide to learn more about the CERT program and the improper payment rate calculation.