Targeted probe and educate (TPE) round results: Evaluation and management services – emergency department visits
Review the top denial / partial denial reasons and high-level results of evaluation and management services – emergency...
Claims adjusted in error due to an issue that affected some professional claims for the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) model
CMS is aware of an issue that occurred on July 26 that affected some 2021-2024 professional claims for the Accountable Care...
Claims with CPT code 90658, influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use, pricing incorrectly
Payment issue affecting CPT code 90658, influenza virus vaccine.
Claims with CPT codes 90653, 90656, 90657, 90660, 90661, 90662, 90658, and 90673 priced incorrectly
2024-2025 flu season codes priced incorrectly.
Payment issue affecting end stage renal dialysis services on type of bill 72X
Payment issue affecting end stage renal dialysis services on type of bill 72X.
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...