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Effective July 6, 2026, outpatient claims with type of bills (TOB) 13X or 14X will be returned to provider (RTP) for reason code 34554 if modifier ER, PO, or PN is billed on all service lines, and the practice location address is missing fr…
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.
Each year, First Coast invites members of the provider community to join the provider outreach and education advisory group for their geographic area. This document lists the members of Puerto Rico’s Part A and Part B advisory groups.
Would you like to reduce the time you spend contacting Medicare? Having difficulties locating a claim? Here's some tips to help locate a claim not on file.
View these recordings of past in-house webinars, including topics such as understanding LCDs, LCD additions and revisions, the CERT program, and more.
Ready to leave paper behind and explore electronic provider enrollment? Attend the last webinar in our Provider Enrollment Preparation Medicare Navigator Series: Establishing Accounts in Medicare Enrollment Systems. We’ll demo creating an…
View these CAC questions for an upcoming meeting on sacroiliac joint nerve blocks and sacroiliac joint destruction procedures.
Find news about local and national coverage determinations, learn how to search the Medicare coverage database, use the procedure/diagnosis code lookup tool, and review clinical trials.
Read this article to learn more about the CERT awareness month campaign focusing on responding to CERT documentation requests.
Find information and resources that will help you properly respond to additional documentation requests within required timeframes.