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Read this article for information about the CERT C3HUB website.
Here are the Comprehensive Error Rate Testing (CERT) top denial reasons for Skilled Nursing Facility (SNF) reviews.
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…
Access tools and forms related to the prior authorization program, CERT, and provider audit.
Read the fourth quarter edition of the CERT Insider's Guide to learn more about the CERT program and the improper payment rate calculation.
Read this article for information about the CERT comparative analysis reports.
Inpatient hospital short stay patient status reviews for acute care inpatient hospitals, long-term care hospitals, and inpatient psychiatric facilities.
First Coast provides a variety of CERT-related educational resources to assist providers with navigating CERT program requirements and achieving Medicare program compliance. Review our newest releases of the CERT Insider's Guide, Fast facts…
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.
Use the new prior authorization code lookup tool to verify if the code is under a prior authorization program sponsored by CMS.