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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.
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.
Read this article to learn more about the CERT awareness month campaign focusing on responding to CERT documentation requests.
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.
Details on submitting the credit balance report, submission deadlines, and a tool to check credit balance status.
This edition includes information on hospital price transparency, providers accepting CHAMPVA, a Medicare fraud alert, and more.