Medicare Claim Review Programs: MR, NCCI Edits, MUEs, CERT, and RAC

Medicare Claim Review Programs: MR, NCCI Edits, MUEs, CERT, and RAC
This booklet 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
frequently asked questions (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.

Free Web Based Training on Various Medicare programs, preventive services, Fraud and abuse, coding, and billing etc. Some courses qualify for continuing educational units. Click here and scroll down to related links. Select Web-Based Training (WBT) Courses.

AACE
Guidelines

AACE Clinical Practice Guidelines are systematically developed, evidence-based documents that assist practitioners about appropriate health care decisions

AACE Position Statements

AACE's Position Statements meet rigorous criteria before being published and utilized and serve as one of the worlds' most trusted sources

AACE
Publications

AACE continually strives to bring to the world definitive protocols, guidelines and discoveries which further and enhance the greater medical health of the general public.

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