Did you know Patient Discharge and Patient Overlap Statuses are found on Palmetto GBA’s Interactive Voice Response (IVR)? Home Health and Hospice (HHH) providers may use the IVR to see if a patient is currently admitted in or discharged from a home health episode, hospice period or inpatient facility.
Full Answer
How often does Palmetto GBA verify access to Medicare data?
Palmetto GBA and CMS are dedicated to ensuring that access to Medicare data is secure. To do this, CMS requires that all provider administrators verify access for all of the users on the account at least once every 90 days for security purposes. This must occur for Palmetto GBA to continue to offer
How do I submit a voluntary refund to Palmetto GBA or Medicare?
Providers may also mail a check payable to Palmetto GBA or Medicare, the completed applicable voluntary refund form, and any relevant documentation to the address listed at the bottom of the applicable voluntary refund form.
What happens when a form is submitted to Palmetto GBA?
the form for resubmission or that the form was received by Palmetto GBA. Once the form has been accepted into our processing system, the received date will be assigned and an additional message will be generated with the Document Control Number (DCN). If a form is submitted over the weekend,
How do I Find my NPI for Palmetto GBA?
Palmetto GBA cannot release patient or provider specific information if you do not identify yourself with your NPI. You may access the National Plan & Provider Enumeration System (NPPES) NPI Registry to search for the NPIs listed for your office. 2.9 How do I find out my tax identification number (TIN)?
When should Medicare refunds be made?
A voluntary refund should be made to Medicare any time an overpayment has been identified by a provider. Overpayments are Medicare funds that a provider, physician, supplier or beneficiary has received in excess of amounts due and payable by Medicare. Once a determination of overpayment has been made, the amount is a debt owed to the United States government.
Can you avoid handwritten information when completing a form?
To ensure accurate and timely processing, please avoid handwritten information when completing the form
Do you have to submit a Part A and Part B refund separately?
Part A and Part B voluntary refunds should be submitted separately with the corresponding voluntary refund form to ensure proper processing
Does Medicare remittance reflect voluntary refund?
All claims adjusted as a result of the voluntary refund request will be reflected on the Medicare Remittance Advice
What is a Medigap policy?
Medigap: A Medigap policy meets the statutory definition of a "Medicare supplemental policy" contained in Section 1882 (g) (1) of Title XVIII of the Social Security Act and the definition contained in the NAIC Model Regulation, which is incorporated by reference to the statute.
What is a CMS-1500?
The CMS-1500 claim form answers the needs of many insurers. It is the basic form prescribed by the Centers of Medica re & Medicaid Services ( CMS) for the Medicare program for claims from physicians and suppliers.
Do you list other supplemental coverage in item 9?
Do not list other supplemental coverage in Item 9 and its subdivisions at the time a Medicare claim is filed. Other supplemental claims are forwarded automatically to the private insurer if the private insurer contracts with the carrier to send Medicare claim information electronically.
