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View these submission guidelines for ASC prior authorization requests.

Read the fourth quarter edition of the CERT Insider's Guide to learn more about the CERT program and the improper payment rate calculation.

To exit the PC-ACE software program  Click on the word File from the PC-ACE Main Toolbar and click on Exit. 

To exit the PC-ACE software program  Click on the word File from the PC-ACE Main Toolbar and click on Exit. 

Part A and Part B users may use the Appeals feature to submit an appeal request, and view appeals status / outcome. 

Part A and Part B users may use the Appeals feature to submit an appeal request, and view appeals status / outcome. 

Read the Part A first 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.

The MDS is a tool used for implementing standardized assessment and for facilitating care management in skilled nursing homes and non-critical access hospital swing beds.

The MDS is a tool used for implementing standardized assessment and for facilitating care management in skilled nursing homes and non-critical access hospital swing beds.

This edition includes information on the new CMS LEAD model, the new BALANCE model, 2026 updates, and more.