New prior authorization code lookup tool now available
Use the new prior authorization code lookup tool to verify if the code is under a prior authorization program sponsored by CMS.
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Breakdown of common Minimum Data Set (MDS) errors: Sections D - E - GG
Sections D - E - GG
Section D: Mood
D0150 Resident Mood Interview (PHQ-2 to 9©)
- Supportive documentation within the record; nurse...
CERT related educational resources
First Coast provides a variety of CERT-related educational resources to assist providers with navigating CERT program...
Breakdown of common Minimum Data Set (MDS) errors: Sections M - O & Z
The MDS is a tool used for implementing standardized assessment and for facilitating care management in skilled nursing homes...
Breakdown of common Minimum Data Set (MDS) errors: Section H - K
The MDS is a tool used for implementing standardized assessment and for facilitating care management in skilled nursing homes...
Breakdown of common Minimum Data Set (MDS) errors: Section A - C
The MDS is a tool used for implementing standardized assessment and for facilitating care management in skilled nursing homes...
Physical therapy plan of care requirements
When billing for rehabilitation therapy services, there are some documentation requirements that must be met to comply with the...
Additional review programs
- Recovery audit program: Find out how the recovery audit program utilizes claim reviews to reduce the volume of improper payments...
CERT Insider's Guide - Part B Third Quarter 2025
Read this third quarter edition of the Insider's Guide to learn more about CERT errors for ambulance, chiropractic, and drugs...
CERT Insider’s Guide - Part A Third Quarter 2025
Read the third quarter edition of the Insider's Guide to learn more about skilled nursing facility (SNF) CERT errors.