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These checklists are intended to provide healthcare providers with a reference for use when responding to CERT documentation requests for the selected claim sample.
Avoid the appeals process by making minor claim corrections through a clerical reopening request for Part B claims.
Use the links on the left to access checklists to ensure you have met medical documentation requirements based on specific services.
View this article for information regarding local contractor pricing.
The help guide for the NCCI PTP lookup is currently being developed. Please check back soon.
Read the Part A second quarter edition of the CERT Insider's Guide to learn more about claim errors assessed during the CERT review process and ways to mitigate these errors in the future.
To avoid claim denials and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit a claim when applying modifier 24.
Read this article for information about billing modifier 59.
This edition includes information on complying with proof of delivery requirements, National Correct Coding Initiative October update, complying with Medicare signature requirements, and more.
Learn how to take advantage of the features of our exclusive E/M interactive worksheet and find the code that best represents the level of evaluation and management services (E/M) furnished during a patient’s visit.