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Home Health & Hospice Week

Industry Notes:

You've got a new process to resolve billing disputes

Published on Fri Jan 07, 2011

You've got a new process to resolve billing disputes with other providers if Palmetto GBA is your intermediary. The change is "in response to requests received at coalition meetings and feedback from the provider community," the intermediary says on its website. "The dispute resolution process includes ... overlapping dates of service and hospice sequential billing situations," it says. "The new process will require you to submit requests in writing," Palmetto explains. The intermediary has a new job aid and Billing Dispute Resolution Request form on its website. (For free copies of and links to the documents, e-mail editor Rebecca Johnson at rebeccaj@eliresearch.com with "Billing Dispute Aid" in the subject line.) Good news: "You will no longer be required to make at least three attempts to resolve the situation before contacting Palmetto GBA for assistance," the contractor says. But you will have to "demonstrate that you have attempted to resolve [...]
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