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  • Posting Date: 01/19/2022
    Physician Documentation Requirements for Certification of Home Health Care

    Physician Documentation Requirements for Certification of Home Health Care Medicare has changed the physician documentation requirements for certification of home health care for dates of service effective 1/1/2015. While clinicians still need [...]

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  • Posting Date: 01/29/2021
    SNF Inpatient Stays

    SNF Inpatient Stays The CERT contractor has seen increased denials of SNF inpatient stays due to missing or incomplete physician certification statement of medical necessity. Certification of medical necessity of inpatient skilled nursing [...]

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  • Posting Date: 02/12/2016
    Physician Orders to Admit to Inpatient Hospital or for Observation Services

    Physician Orders to Admit to Inpatient Hospital or for Observation Services Lack of a formal order for inpatient admission or observation services results in an increase of the CERT error rate for National Government Services. CERT auditors [...]

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  • Posting Date: 01/29/2021
    Pacemakers and Cardiac Defibrillators

    Pacemakers and Cardiac Defibrillators National Government Services would like to alert providers that although coverage indications of pacemakers and implantable cardiac defibrillators was revised and expanded effective with dates of service [...]

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