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Here are the Comprehensive Error Rate Testing (CERT) top denial reasons for Skilled Nursing Facility (SNF) reviews.
View the most recent updates for our LCDs and articles. A final LCD has become effective.
This article outlines billing, payment methodology, and documentation requirements for non-sheet skin substitute products. It clarifies that the appropriate application codes must be submitted on the same claim to avoid rejection.
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2026.
Review the targeted probe and educate (TPE) round results for inpatient rehabilitation facility (IRF).
Are you receiving additional documentation request (ADR) from SafeGuard Services LLC (SGS) or IntegriGuard? SafeGuard Services is responsible for combating and preventing fraud, waste, and abuse in the southeastern jurisdiction, which inclu…
We redesigned our provider specialty page to support independent clinical laboratory providers with accessing policy details, CLIA information, enrollment, claims submission and reimbursement tips, and other valuable resources.
This edition includes information on therapy services, roster billing for hepatitis B, preventing claim denails for oral anticancer and antiemetic drugs, and more.
Information pertaining to Part B rehabilitation services, including links to LCDs/NCDs, education, FAQs, provider enrollment, CMS IOMs, and other resources.
There are many steps that must take place to process an enrollment application. Learn about the high-level progression of a basic enrollment.