Claims compliance and review

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.

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.

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

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

Use the new prior authorization code lookup tool to verify if the code is under a prior authorization program sponsored by CMS.

Use the new prior authorization code lookup tool to verify if the code is under a prior authorization program sponsored by CMS.

 Sections D - E - GG Section D: Mood D0150 Resident Mood Interview (PHQ-2 to 9©) 

 Sections D - E - GG Section D: Mood D0150 Resident Mood Interview (PHQ-2 to 9©) 

Here are the Comprehensive Error Rate Testing (CERT) top denial reasons for Skilled Nursing Facility (SNF) reviews.

Here are the Comprehensive Error Rate Testing (CERT) top denial reasons for Skilled Nursing Facility (SNF) reviews.