CERT Task Force: Overview presentation
The Comprehensive Error Rate Testing (CERT) A/B MAC Outreach & Education Task Force, a collaboration of all Part A and Part B...
Articles
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Clinicians: Are you ordering urological supplies for your patients?
Urological supplies are covered as part of the Prosthetic Device benefit as outlined in the Social Security Act § 1861(s)(8)...
Complying with medical record documentation requirements
First Coast encourages providers to review this fact sheet designed to help providers understand how to provide accurate and...
View our video on avoiding non-response medical review denials
We added a YouTube video on Medical Review best practices to prevent unnecessary “non-response” denials. Let us know what you...
How to avoid common Medicare outpatient therapy denials
Watch our video to learn about Medicare’s documentation and coding requirements for outpatient physical therapy services.
National A/B MAC ambulance provider / supplier coalition meeting invite
Join the next virtual National A/B MAC ambulance provider / supplier coalition meeting on Wednesday, September 17 at 2 p.m. ET.
Fast facts: CERT documentation submission
Read this article to review some helpful information about the CERT program responding to additional documentation requests...
Tips to prevent claim adjustment reason code (CARC) PR 96
Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 96.
Prior authorization fax coversheet
CMS is implementing a prior authorization program for certain hospital outpatient department services for dates of service on or...