In Billing
Jan 18th, 2018
Palmetto GBA is preparing to become the A/B Medicare administrative contractor (MAC) for Jurisdiction J (JJ), which includes the states of Alabama, Georgia, and Tennessee — and so should you if you submit Medicare claims for healthcare providers who practice in those states. Part A providers will transition from Cahaba GBA effective Jan. 29, 2018, and Part ...
In Billing
Apr 28th, 2015
Palmetto, GBA has been awarded a five-year contract as Parts A and B Medicare administrative contractor (A/B MAC) for Jurisdiction M (Virginia, West Virginia, North Carolina, and South Carolina). Palmetto will also administer Medicare home health and hospice fee-for-service (FFS) claims in Alabama, Arkansas, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Mississippi, New Mexico, North Ca...
In Billing
Oct 8th, 2014
Palmetto GBA has added a nifty new feature on their website that coders and billers will enjoy: a Medicare Physician Fee Schedule (MPFS) Tool. This online tool allows the user to display or download fees, indicators, and indicator descriptors. You can use this tool to: Locate local and national fees quickly Find the number of global ...
In Billing
Jul 26th, 2012
It isn’t every day a Medicare administrative contractor (MAC) says it will cover a procedure that has neither a specific CPT® code describing it nor any concrete proof that the medical intervention is even useful. On July 16, however, Palmetto GBA did exactly that when it posted a policy update for percutaneous endovascular cardiac assist procedures ...
In Audit
Jun 18th, 2012
Confusion regarding which services qualify for the Health Professional Shortage Area (HPSA) 10 percent bonus is mounting, Palmetto GBA says. “Submitting HPSA modifiers on claims that do not qualify for the HPSA incentive payment may result in erroneous incentive payments and a referral to the Zone Program Integrity Contractor (ZPIC) for fraud and abuse investigation,” ...