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The MDS is a tool used for implementing standardized assessment and for facilitating care management in skilled nursing homes and non-critical access hospital swing beds.
Information pertaining to end-stage renal disease, including links to LCDs/NCDs, education, FAQs, provider enrollment, CMS IOMs, and other resources.
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Spotlight
This edition includes information on preventing claim denials for psychiatric care, MPFS July update, skilled nursing facility Part D payments, and more.
This article includes requirements that providers must be operational when enrollment applications are submitted. Review this article for help in preventing processing impacts to your application.
Trump administration issues request for information, guidance to expand access to real prices.
This edition includes information on the Medicare Shared Savings Program, providers accepting CHAMPVA, national coverage determination 20.36, and more.
Who / what is a recovery auditor?
CMS established the Comprehensive Error Rate Testing (CERT) program to monitor and report the accuracy of Medicare fee-for-service (FFS) payments. The CERT program measures the error rate for claims submitted to Medicare contractors. View t…