Tools
This electronic marker enables providers to save time and bypass authentication on subsequent calls for a particular issue on the same day.
eTicket
These events are intended to open the communication channels between providers and Palmetto GBA, which allows for timely identification of problems and information-sharing in an interactive atmosphere on a quarterly basis via teleconference.
Quarterly Ask the Contractor Teleconferences (ACTs)
CPT code that represents FGFR3 Gene Analysis.
0154U
The MAC Satisfaction Indicator (MSI) survey offers detailed feedback on these functional areas of Palmetto GBA.
Provider Enrollment, EDI, Claims, PCC, eServices
This communication explains changes to CWF edits to ensure the original 1-day and 3-day payment window edits' set and bypass conditions are consistent with current policy.
CR 11559
If providers are not using this secure internet portal, you should be encouraging them to register today. Its easy and it's free.
eServices
Internet events that are intended to provide ongoing, scheduled opportunities for providers to stay up to date on Medicare requirements. Providers are able to type a question and have it responded to by a POE member.
Quarterly Updates Webcasts
This ICD-10 code represents resistance to multiple antibiotics.
Z16.24
This is the telephone number for the JJ Part A PCC.
877-567-7271
This communication announces the addition of a new ICD-10 code for vaping related disorder to the Medicare Severity - Diagnosis Related Groups (MS_DRG) effective for discharges on and after April 1, 2020.
CR 11623
Providers use this eight digit code to ease the burden of repeated authentication when calling the PCC multiple times within the same day.
ePass
Provider calls the PCC and wants to know a resource to track their Provider Enrollment application(s).
Application Status Lookup Tool
This new modifier represents the ordering professional is not required to consult a clinical decision support mechanism due to service being rendered to a patient with a suspected or confirmed emergency medical condition.
MA- Emer med cond susp/confirm
Online provider modules and other online training courses are offered here.
Self-Paced Learning Section
This communication prepares the Medicare claims processing systems to calculate the Long Term Care Hospital (LTC) Prospective Payment System (PPS) payment when an LTCH is subject to the Discharge Payment Percentage (DPP) payment adjustment.
CR 11616
Palmetto GBA uses this wonderful communication tool that offers providers the opportunity to stay informed about Medicare incentive programs; fee schedule changes; new legislation; and so much more.
Palmetto GBA Medicare Listserv
Provider wants to know if you can help him with identifying a Medicare beneficiary but only has the patient's HICN. You explain you can help with appeals, claim status query or span-date claims.
MBI Exceptions
This new HCPCS code represents the influenza virus vaccine.
90694
To make a change in their Medicare enrollment information, providers are encouraged to use this efficient tool.
Inter-based Provider Enrollment, Chain and Ownership System (PECOS)
This communication explains a new statutory authority for a provisional period of enhanced oversight for new providers that historically have engaged in high levels of fraud, waste, and abuse.
SE 19005
This module provides a quick reference to most common condition, occurrence, value patient relationship, remarks field and primary codes associated with Medicare Secondary Payer (MSP) claims.
Medicare Secondary Payer (MSP) Coding Module
Provider asks why these route all institutional outpatient claims through a single one of these.
Integrated Outpatient Code Editor (I/OCE)
This is the confirmation ID code for the June 1, 2020 Medical Review Hot Topic Targeted Probe and Educate Teleconference call.
9494605
This monthly publication contains coverage, billing, and other information for the provider community within its jurisdiction.
Medicare Advisory
This release informs providers of the influenza virus vaccine code set that is updated on a quarterly basis.
CR 11603