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Cotiviti GOV Services has been awarded the region three recovery audit contract. Read this article to learn more.
This article has resources available for verifying the status of your CERT review.
The Comprehensive Error Rate Testing (CERT) review contractor conducts a medical review of randomly sampled post-payment claims. If the claim was billed and paid correctly, the CERT review contractor will issue a “No Error” finding.
These checklists are intended to provide healthcare providers with a reference for use when responding to CERT documentation requests for the selected claim sample.
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.
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.
Here are the Comprehensive Error Rate Testing (CERT) top denial reasons for Skilled Nursing Facility (SNF) reviews.
The nation's leading MACs have joined together to create the CERT A/B MAC Outreach & Education Task Force. This unified educational initiative benefits providers as well as the Medicare program.
Use the new prior authorization code lookup tool to verify if the code is under a prior authorization program sponsored by CMS.
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…