Part A Certs/Recerts Part 1: How to Avoid Denials

By Caralyn Davis, Staff Writer - August 01, 2017

Several AANAC master teachers are reporting an increase in Medicare Part A denials from Medicare administrative contractors (MACs) and other medical reviewers related to issues with physician/nonphysician practitioner certifications and recertifications (certs/recerts) for skilled care. “While the cert/recert documentation doesn’t have to be on a specific form, providers that choose to use forms need to complete them carefully,” says Christine Twombly, RN, RAC-MT, LHRM, CHC, vice president of MDS at Harmony Healthcare International in Topsfield, MA.