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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.
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.
Read this article to learn more about the CERT awareness month campaign focusing on verifying your mailing address.