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Read this article for information about CERT claim sampling and the review process.
Find the latest Medicare news identified specifically for opioid treatment programs as well as helpful information, education, and links to CMS resources pertaining to this specialty.
Read the Part A first 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.
Find the latest Medicare news identified specifically for providers of cardiology services as well as helpful information, tools, and links to CMS resources pertaining to this specialty.
This edition includes information on lower limb orthoses claim denials, new contact information for the external user services help desk, and more.
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…
Read this article to review some helpful information about the CERT program responding to additional documentation requests (ADRs).
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…
Review minutes from the Part A Provider Outreach and Education Advisory Group (POE-AG) meeting for Florida/USVI.