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CERT Insider's Guide - Part B Second Quarter 2025

December 23, 2025
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.

Fast facts: Responding to CERT additional documentation requests

December 23, 2025
Read this article for information about responding to CERT documentation requests.

Tips to prevent claim adjustment reason code (CARC) CO 50/PR 50

December 23, 2025
To increase the number of claims that successfully process and enhance cash flow, we are providing you with the top reasons claims denied with tips and resources to help you avoid many of these errors.

Signature requirement samples

December 23, 2025
Medicare signature requirements sample signature log and sample signature attestation statement.

Signature guidelines: 20-day timeframe for additional documentation requests

December 23, 2025
When a medical reviewer contacts the provider requesting to submit an attestation statement or signature log to authenticate a medical record, the provider must submit the attestation statement or signature log within 20-calendar days.

Appeal tips: Documentation to include with your Part A redetermination request

December 23, 2025
Learn what documentation to include when submitting a Medicare Part A appeals request.

National Correct Coding Initiative (NCCI)

December 23, 2025
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…

CMS awards Cotiviti GOV Services region 3 recovery audit contract

December 23, 2025
Cotiviti GOV Services has been awarded the region three recovery audit contract. Read this article to learn more.

Provide your correct PTAN when contacting provider customer service

December 23, 2025
Make sure to provide your correct PTAN in the proper format when contacting us for any claim-related inquiries. PTANs that have double zeroes as a prefix (00XXXXX) should be provided with those zeroes, followed by the remaining digits. If y…

Inpatient hospital entitlement changes

December 23, 2025
When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will determine whether to bill the Medicare Advantage plan and/or original Medicare.
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