Targeted probe and educate (TPE) topics and schedule of review
View this updated listing of targeted probe and educate (TPE) review topics.
CERT Insider's Guide - Part B Second Quarter 2025
Read the Part B second quarter edition of the CERT Insider's Guide to learn more about claim errors assessed during the CERT...
Hepatitis B vaccination
Payment for the hepatitis B vaccine and its administration is only available to Medicare beneficiaries who are at high or...
CERT Insider’s Guide – Part A Second Quarter 2025
Read the Part A second quarter edition of the CERT Insider's Guide to learn more about claim errors assessed during the CERT...
Billing & coding
Find the latest news pertaining to Medicare billing, coding, and general coverage changes. Access this page to view deductible...
Targeted probe and educate (TPE) round results: Evaluation and management services – initial inpatient care visits and subsequent inpatient care visits
Review the top denial / partial denial reasons and high-level results of evaluation and management services - initial inpatient...
Fast facts: Responding to CERT additional documentation requests
Read this article for information about responding to CERT documentation requests.
Appeals
Find information regarding the appeals process -- levels, forms, FAQs, and how to appeal Medicare coverage and payment decisions...