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Comprehensive Error Rate Testing

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CERT Alerts

Month/Year Topic
July 2020
Total Joint Arthroplasty
May 2020
Botulinum Toxin Injections for Chronic Headaches
May 2020
Home Health Care Requirements for a Plan of Care
April 2020 Chiropractic Services
February 2020 Amending Medical Records
December 2019
Continuous Cycling Peritoneal Dialysis
November 2019 Prothrombin Time
November 2019 CologuardTM Multitarget Stool DNA Test
October 2019 Diagnostic Mammography
September 2019
Prolonged Services
August 2019
Signature Requirements
August 2019
No Documentation Received
July 2019 Annual Wellness Visit: Insufficient Documentation Causes Most Improper Payments
May 2019 Hyperbaric Oxygen Therapy Treatment Errors Due to Insufficient Documentation
May 2019 Surgery Services: Insufficient Documentation Causes Most Improper Payments
December 2018 Medication Administration Errors Due to Insufficient Documentation
October 2018 Ambulance Services: Insufficient Documentation Causes Most Improper Payments
July 2018 Stereotactic Body Radiation Therapy: Insufficient Documentation Causes Most Improper Payments
May 2018 Anesthesia Services: Insufficient Documentation Causes Most Improper Payments
April 2018 Diagnostic Testing Services: Insufficient Documentation Causes Most Improper Payments
April 2018 Physical Therapy Services: Insufficient Documentation Causes Most Improper Payments
December 2017 Hemodialysis Treatment: Insufficient Documentation Causes Most Improper Payments
December 2017 Psychiatry and Psychology Services: Insufficient Documentation Causes Most Improper Payments
November 2017 Hospital Discharge Summary: Insufficient Documentation Causes Most Improper Payments
October 2016 References Aid in Determination to Bill Inpatient or Outpatient Services
September 2016 CERT Documentation Request Listings Now Available on the CERT Provider Website
September 2016 Inpatient Rehabilitation Services Denied Due to Insufficient Documentation
August 2017 New Process for Requesting Medical Records
June 2016 Clarification of Inpatient Psychiatric Certification/Recertification/Delayed Certification
May 2016 Physician Documentation Requirements for Certification of Home Health Care
April 2016 Denials of SNF Inpatient Stays Due to Incomplete Physician Certification/Recertification of Medical Necessity
February 2016 Physician Orders to Admit to Inpatient Hospital or for Observation Services
February 2016 Lack of Documentation to Support Coverage of Pacemakers and Cardiac Defibrillators
October 2014 Documentation Errors for Transcatheter Aortic Valve Replacement
December 2013 Submitting Part A to Part B Claims (Rebilling)
July 2013 CERT A/B MAC Outreach & Education Task Force Introduction
September 2012 Inpatient Hospital Surgery - Submitting Additional Documentation to Support Medical Necessity
June 2012 Submit and Check the Status of all Redetermination/Reopening Requests Online with NGSConnex
September 2010 Acceptable Electronic Signatures
August 2010 The Appeals Process after Claims Correction or Denial
June 2010 Selecting the Appropriate Principal Diagnosis for Inpatient Services
March 2010 Change Request 6698: Signature Guidelines for Medical Review Purposes
February 2010 Error Code 31: Medication Units Incorrectly Billed
October 2009 Services Incorrectly Coded Related to CPT Code 85025--Complete Blood Count with Differential
September 2009 Denied and Adjusted Evaluation and Management Codes
September 2009 Comprehensive Error Rate Testing Contacts and Websites
February 2009 Diagnosis-Related Group Comprehensive Error Rate Testing Errors
January 2009 Therapy Checklist
CERT Alerts
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