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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…
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.
Read this article to learn more about the CERT awareness month campaign focusing on responding to CERT documentation requests.
Read this article for information about communication impacts from the CERT contractor.
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.
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.
Read the Part B 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.
The National Correct Coding Initiative (NCCI) was developed to promote national correct coding methodologies and to control improper coding leading to inappropriate payments. Read this article to learn more about NCCI and other coding edits…
Physicians and non-physician practitioners need to identify the correct date of service for the services they provide to a Medicare patient. This article will discuss some of the situations where there have been questions from the provider…