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Fast facts: Valid CERT/CMS communications

Read this article for information about communication impacts from the CERT contractor.

Clerical reopening requests

Avoid the appeals process by making minor claim corrections through a clerical reopening request for Part B claims.

Interim billing guidelines for inpatient acute-care PPS hospitals, inpatient rehabilitation facilities (IRFs), long-term care hospitals (LTCHs) and inpatient psychiatric facilities (IPFs)

Review these interim billing guidelines.

Update history: LCD and article updates

View the most recent updates for our LCDs and articles. A final LCD has become effective.

Targeted probe and educate (TPE) round results: Rehabilitation services outpatient

View these round results for rehabilitation services outpatient.

Targeted probe and educate (TPE) round results: Clinical laboratory services

View targeted probe and educate (TPE) round results for clinical laboratory services.

Targeted probe and educate (TPE) round results: Diagnostic-related group (DRG) 885 - psychosis

Review the top denial / partial denial reasons and high-level results listed for DRG 885.

SNF Spotlight: CERT top denial reasons for SNF reviews

Here are the Comprehensive Error Rate Testing (CERT) top denial reasons for Skilled Nursing Facility (SNF) reviews.

Inpatient prospective payment system (IPPS) for acute care hospitals

This gives you a brief overview of the inpatient prospective payment system for acute care hospitals

2026 anesthesia conversion factors

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.