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When billing for rehabilitation therapy services, there are some documentation requirements that must be met to comply with the reasonable and necessary definition.
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…
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.