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Read the fourth quarter edition of the CERT Insider's Guide to learn more about the CERT program and the improper payment rate calculation.
Inpatient hospital short stay patient status reviews for acute care inpatient hospitals, long-term care hospitals, and inpatient psychiatric facilities.
Access tools and forms related to the prior authorization program, CERT, and provider audit.
Learn about other review programs including, recovery audit and fraud and abuse prevention.
Sections D - E - GG
Section D: Mood
D0150 Resident Mood Interview (PHQ-2 to 9©)
The Comprehensive Error Rate Testing (CERT) A/B MAC Outreach & Education Task Force, a collaboration of all Part A and Part B MACs, has published a presentation providing you with an overview of the task force purpose, updates on new ed…
Read this third quarter edition of the Insider's Guide to learn more about CERT errors for ambulance, chiropractic, and drugs and biological claim reviews.
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.
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.