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The Medicare Part A DDE user manual has been updated to include changes from the October 2025 release and a new section with tips. October 2025 release details include changes to the inquiry menu. Review the change summary chart at the end…
Article includes flow of the remittance advice and links to the claims adjustment reason codes and the remittance advice remark codes.
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…
This article provides information on how providers can obtain duplicate remittance notices.
View targeted probe and educate (TPE) round results for end stage renal disease (ESRD).
Review the top denial/partial denial reasons and high-level results of wound debridement (CPT 11042-11045) TPE round results for December 2022 - May 2023.
Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.
There are a few scenarios that exist for denial reason code CO 97, as outlined below. Please review the associated remittance advice remark code (RARC) noted on the remittance advice for your claim and then refer to the specific resources a…
Review minutes from the Part A/B Provider Outreach and Education Advisory Group (POE-AG) meeting for Puerto Rico. Minutes are in Spanish only.
Read this article for information about communication impacts from the CERT contractor.