Is your facility receiving denials for a claim overlapping a skilled nursing facility (SNF) stay? Claims overlapping with a skilled nursing facility (SNF) stay can occur for several reasons. This article is intended to assist providers with…
These checklists are intended to provide health care providers with a reference for use when responding to CERT documentation requests for the selected claim sample.
In response to numerous and continued requests from the ambulance community, the Part A/B Medicare Administrative Contractors (MACs) have put together a National Part A/B MAC Ambulance Supplier Coalition. Read this article for more informat…
This edition includes information on a new model to target wasteful, inappropriate services in Original Medicare, CY 2026 proposed rules for ESRD and home health, revalidation deadline for skilled nursing facilities, and more.
Get the latest news regarding provider audit and reimbursement, along with forms for interim rate and periodic interim payment requests as well as statistical and reimbursement report fax sheets.