Claims compliance and review

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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 and non-critical access hospital swing beds.

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 and non-critical access hospital swing beds.

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 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.

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 and biological claim reviews.

Fast facts: CERT support - who we are and what we do

Read this article to learn more about the CERT support team.

Fast facts: CERT support - who we are and what we do

Read this article to learn more about the CERT support team.

Medically Unlikely Edits: Avoid denials and appeals by properly coding the first time

First Coast wants you to prevent claim denials or appeals by coding the appropriate number of units correctly the first time.

CERT Insider’s Guide

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

CERT Insider’s Guide

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