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Medicare Compliance & Reimbursement

CERT Appeals:
When CERT Comes Knocking, Make Sure to Answer

Tip: Encrypt your emailed documentation per HIPAA, CERT contractor says. Unless you’re on Medicare’s short list of providers who’ve been underpaid, now is a good time of year to check your claims data and revisit your protocols for how to handle overpayments, Additional Documentation Requests (ADRs), and appeals. Context: CMS’s new Comprehensive Error Rate Testing (CERT) results were issued on [...]

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