Medicare Claim Review Programs: MUE, CCI, CERT, RAC Booklet Revised
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Medicare Claim Review Programs: MUE, CCI, CERT, RAC Booklet Revised

The Medicare Learning Network has revised the Medicare Claim Review Programs: MUE, CCI, CERT, RAC booklet, which is designed to provide education on the different CMS claim-review programs and assist providers in reducing payment errors - in particular, coverage and coding errors.

It includes FAQs, resources, and an overview of the various programs, including Medical Review (MR), Recovery Audit Contractor (RAC), and the Comprehensive Error Rate Testing (CERT) Program.  This product is suggested for all Medicare Fee-For-Service providers and is available in downloadable by clicking here.   Additionally, please visit the MLN Provider Compliance web page at http://www.cms.gov/MLNProducts/45_ProviderCompliance.asp for additional resources designed to educate FFS providers about the common billing errors and other improper activities identified through these programs.

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