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  • Posting Date: 05/18/2020
    Amending Medical Records

    Amending Medical Records Amendments, Corrections and Delayed Entries in Medical Documentation    All services provided to beneficiaries are expected to be documented in the medical record at the time they are rendered. [...]

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  • Posting Date: 12/17/2019
    Continuous Cycling Peritoneal Dialysis

    Continuous Cycling Peritoneal Dialysis We have experienced an increasing number of CERT errors due to documentation requirements not being met. Below is a list of the most common reasons CERT determined there was insufficient documentation [...]

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  • Posting Date: 11/01/2019
    Cologuard TM Multitarget Stool DNA Test

    CologuardTM Multitarget Stool DNA Test Insufficient Documentation Causes Most Improper Payments. Insufficient documentation means that something was missing from the medical records. Below is a list of the most common reasons CERT determined [...]

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  • Posting Date: 01/29/2021
    Hemodialysis Treatment

    Hemodialysis Treatment Insufficient documentation means that something was missing from the medical records. Below is a list of the most common reasons CERT determined there was insufficient documentation that caused improper payments for [...]

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  • Posting Date: 01/29/2021
    Psychiatry and Psychology Services

    Psychiatry and Psychology Services CERT has determined that insufficient documentation caused improper payments for psychiatry and psychotherapy; insufficient documentation means that information was missing from the medical [...]

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  • Posting Date: 05/28/2020
    Hospital Discharge Summary: Insufficient Documentation Causes Most Improper Payments

    Hospital Discharge Summary: Insufficient Documentation Causes Most Improper Payments Insufficient documentation means that something was missing from the medical records.  Below is a list of the most common reasons CERT determined there [...]

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  • Posting Date: 01/29/2021
    Bill Inpatient or Outpatient Services

    Bill Inpatient or Outpatient Services To help avoid denials, National Government Services has compiled information regarding references that will aid in determining whether to bill inpatient or outpatient services. CMS Medicare Learning [...]

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  • Posting Date: 01/29/2021
    Process for Requesting Medical Records

    Process for Requesting Medical Records Additional Documentation Requests INITIAL ADR letters for CERT are sent to the address on file with the NSC for DMEPOS suppliers, or the MAC for the provider/supplier that billed/submitted the [...]

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