CERT Insider’s Guide – Part A First Quarter 2025
Read the Part A first quarter edition of the CERT Insider's Guide to learn more about claim errors assessed during the CERT...
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Tips to prevent claim adjustment reason code (CARC)s 54NCD or 53NCD
Read this article for tips to prevent claim adjustment reason code (CARC)s 54NCD or 53NCD.
Medicare Learning Network
The Medicare Learning Network is the brand name for official CMS national provider education products designed to promote...
Hospital CMS internet-only manuals (IOMs)
Information pertaining to Part A hospitals -- Centers for Medicare & Medicaid Services (CMS) internet-only manuals (IOMs).
Modifier 52 fact sheet
Effective August 31, 2023, documentation is required for claims submitted with modifier 52. To avoid claim rejects and future...
Fast facts: Checking the status of your CERT review
This article has resources available for verifying the status of your CERT review.
Nursing facility E/M services
Nursing facilities include skilled nursing facilities, psychiatric residential treatment centers, and immediate care facilities...
What to do when you can't locate your claim
Would you like to reduce the time you spend contacting Medicare? Having difficulties locating a claim? Here's some tips to help...
Tips to prevent reject reason code C7010
Read this article for tips on how to prevent reject reason code C7010.