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Read this article for information about billing modifier 79.
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.
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Review minutes from the Part B 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.
This edition includes information on hospital price transparency, providers accepting CHAMPVA, a Medicare fraud alert, and more.
View targeted probe and educate (TPE) round results for end stage renal disease (ESRD).
View this updated listing of targeted probe and educate (TPE) review topics.