Claims compliance and review
Fast facts: Appealing a CERT review decision
The Comprehensive Error Rate Testing (CERT) review contractor conducts a medical review of randomly sampled post-payment claims. If the claim was billed and paid correctly, the CERT review contractor…
SafeGuard Services LLC selected as unified program integrity contractor for southeastern jurisdiction
SafeGuard Services LLC (SGS) is responsible for combating and preventing fraud, waste, and abuse in the southeastern jurisdiction, which includes Alabama, Florida, Georgia, North Carolina, Puerto…
SafeGuard Services LLC selected as unified program integrity contractor for southeastern jurisdiction
SafeGuard Services LLC (SGS) is responsible for combating and preventing fraud, waste, and abuse in the southeastern jurisdiction, which includes Alabama, Florida, Georgia, North Carolina, Puerto…
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 MACs, has published a presentation providing you with an overview of…
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 MACs, has published a presentation providing you with an overview of…
National Correct Coding Initiative (NCCI)
The National Correct Coding Initiative (NCCI) was developed to promote national correct coding methodologies and to control improper coding leading to inappropriate payments. Read this article to…
National Correct Coding Initiative (NCCI)
The National Correct Coding Initiative (NCCI) was developed to promote national correct coding methodologies and to control improper coding leading to inappropriate payments. Read this article to…
Collaborative patient care is a provider partnership
Understanding applicable Medicare coverage criteria for medical necessity and documentation guidelines for healthcare services is extremely important for the accurate and timely processing and…
Collaborative patient care is a provider partnership
Understanding applicable Medicare coverage criteria for medical necessity and documentation guidelines for healthcare services is extremely important for the accurate and timely processing and…