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Use the left menu find tips to avoid common denials and claims rejections. Billing Medicare correctly the first time increases your cash flow while reducing provider burden.
Read this article for helpful hints for SNF claim reviews by CERT.
The PC-ACE Professional Training Module provides instructions necessary to set up and use the PC-ACE software.
This special edition includes information on lifting the current claims hold.
This article provides information regarding unsolicited / voluntary refunds, that is, monies received by Medicare not related to an open account receivable.
Use this guide to learn about the HETS-EDI enrollment tool (HEET).
This is your opportunity to hear directly from the Medicare contractors regarding Medicare’s criteria necessary for the coverage of parenteral nutrition.
The MDS is a tool used for implementing standardized assessment and for facilitating care management in skilled nursing homes and non-critical access hospital swing beds.
Here are the Comprehensive Error Rate Testing (CERT) top denial reasons for Skilled Nursing Facility (SNF) reviews.
View this new provider roadmap for guidance through the Medicare process.