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    • August 29, 2017

    Palmetto GBA is excited to announce that rendering physicians now have access to eReview functions via the eServices portal to review and analyze their Medicare billing activity. JM Part B rendering physicians who are currently listed in PECOS may register for a rendering physician account in eServices. Rendering physician accounts only have... more

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    • August 29, 2017

    Electronic Audit (eAudit) is a new function available in the eServices online portal. This tool gives you the ability to access personal reports of audit results for claims that have been chosen for Medical Review by various Medicare review contractors. eAudit also lets you see what claims may be pending for Medical Review currently and the... more

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    • August 29, 2017

    Palmetto GBA has reduced the number of addresses used for submitting provider checks to satisfy Medicare debts.  Please immediately begin using the new addresses to submit payment for any Medicare Debts. All other PO Boxes will be closed. Please note that the new PO Boxes will be reflected on all forms and letters. This will not affect... more

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    • August 29, 2017

    In the event an Intent to Refer (ITR) letter is sent, you have the right to inspect and copy all records  pertaining to your debt. In order to present evidence or review the CMS records, you must submit a written request. Your request must be received within 60 calendar days from the  ITR letter date. In response to a timely request... more

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    • June 27, 2017

    Stamped signatures are not acceptable. Palmetto GBA continues to receive medical records with stamped signatures. Stamped signatures are only permitted in the case of an author with a physical disability who can provide proof to CMS or a CMS contractor of an inability to sign due to a disability. CMS would permit use of a rubber stamp for... more

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    • June 27, 2017

    All claims for molecular tests in the MolDX code ranges require additional information for processing per the Molecular Diagnostic Testing policy. In addition to the proper CPT code, the claim line must contain the test identifier (DEX Z-Code™) associated with that test.  The tests subject to this requirement include two microbiology code... more

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    • June 27, 2017

    NGS testing platforms allow identification of somatic and/or germline alterations in multiple genes at the same time. This guideline focuses on two main types of somatic, tumor tissue-based, testing panels.  Germline panels will be addressed in another article as needed. To bill for targeted NGS services, review CPT codes 81445, 81450 and... more

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    • June 27, 2017

    The MolDx program has released the fees established for Tier 2 covered tests. Please note the genes are sorted by CPT code and then by alpha per gene. Multiple genes are listed under a single CPT Tier 2 code. The required DEX Z-code™ assigned and submitted with each test enables MolDX to apply the appropriate fee for the specific test... more

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