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Fast facts: CERT administrative relief during a disaster
March 18, 2026
Read this article for information about how CERT may grant temporary administrative relief to certain affected providers and suppliers during a disaster.
Rhinoplasty and related services
March 16, 2026
Nasal surgery is any procedure performed on the external or internal structures of the nose, septum or turbinate.
Targeted probe and educate (TPE) round results: Rehabilitation services outpatient
May 18, 2026
View these round results for rehabilitation services outpatient.
Targeted probe and educate (TPE) round results: Clinical laboratory services
May 18, 2026
View targeted probe and educate (TPE) round results for clinical laboratory services.
Targeted probe and educate (TPE) round results: Diagnostic-related group (DRG) 885 - psychosis
May 18, 2026
Review the top denial / partial denial reasons and high-level results listed for DRG 885.
Understanding repetitive scheduled non-emergent ambulance transports
May 18, 2026
Review these FAQs to learn more about the prior authorization for repetitive scheduled non-emergency ambulance transport.
Targeted probe and educate (TPE) round results: Inpatient rehabilitation facilities (IRF)
May 18, 2026
Review the targeted probe and educate (TPE) round results for inpatient rehabilitation facility (IRF).
Tools & forms: Compliance / Review
April 17, 2026
Access tools and forms related to the prior authorization program, CERT, and provider audit.
Medical documentation checklists
May 4, 2026
Use these checklists to ensure you have met medical documentation requirements based on specific services.
Understanding the prior authorization (PA) demonstration for ambulatory surgical center (ASC) services
March 19, 2026
This document was developed based on questions and answers posed during our webinars on the PA demonstration for ASC services.
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