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Home Health & Hospice Week

Industry Note:

HHH MAC Debuts New Resource To Help You Figure Out CERT Denials

Published on Thu Jun 28, 2012

Denials from the Comprehensive Error Rate Testing (CERT) project can confuse pro-viders, but don't forget you can appeal.Resource: If your HHH MAC is National Government Services, you can use its new CERT Denial Reason Finder self-service tool to locate the denial reason definition, understand why the claim was denied, view CERT reviewer comments, and learn how to correct the error, NGS says in a message to providers.You can find the tool at www.ngsmedicare.com/wps/portal/ngsmedicare/certstatus. You just enter the CERT claim identification (CID) number in the tool's search form field then select "Submit." You can appeal the decision online at the MAC's NGSConnex.com online portal.
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