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First Coast wants you to prevent claim denials or appeals by coding the appropriate number of units correctly the first time.
First Coast encourages providers to review this fact sheet designed to help providers understand how to provide accurate and supportive medical record documentation.
Understanding applicable Medicare coverage criteria for medical necessity and documentation guidelines for healthcare services is extremely important for the accurate and timely processing and payment of claims. Partnering with Medicare can…
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…
Who / what is a recovery auditor?
Our Medicare Navigator Program is back with webinars focused on supporting providers to successfully navigate Medicare program requirements and submit complete, accurate transactions. Review our event calendar for the full listing of events…
Read this article for information about CERT claim sampling and the review process.
Read this article to review some helpful information about the CERT program responding to additional documentation requests (ADRs).
Read this article for information about the CERT C3HUB website.