Claims compliance and review

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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 reasonable and necessary definition.

CERT A/B MAC Outreach & Education Task Force

The nation's leading MACs have joined together to create the CERT A/B MAC Outreach & Education Task Force. This unified educational initiative benefits providers as well as the Medicare program.

CERT A/B MAC Outreach & Education Task Force

The nation's leading MACs have joined together to create the CERT A/B MAC Outreach & Education Task Force. This unified educational initiative benefits providers as well as the Medicare program.

Recovery Audit Program

Who / what is a recovery auditor? 

Recovery Audit Program

Who / what is a recovery auditor? 

Fast facts: Valid CERT/CMS communications

Read this article for information about communication impacts from the CERT contractor.

Fast facts: Valid CERT/CMS communications

Read this article for information about communication impacts from the CERT contractor.

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.

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.

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©)