Palmetto
I am sure most seasoned billers are now familiar with the take over for the Medicare claims by Palmetto G.B.A. Can anyone tell me what problems they have recently experienced and is there a website...
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Yeah, I agree it was a pain when we switched from NHIC to Palmetto, since NHIC was so well organized and professional. Our payments were affected for a couple of months, but Palmetto has come around,...
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Palmetto has been rejecting claims for POS 13 and 14 for the past month. They previously paid these claims. I tried calling Palmetto several times but never got a satisfactory answer. One rep...
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We don't provide services in any level of care less than nursing home, so I'm kind of fishing here... Have you asked the facilities if they have an NPI? Are you using the correct CPT codes (not the...
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I usually bill with the E&M codes 99324,99325 and 99334, 99335 and some procedure codes. The rejection codes are: 125 Submission/billing error(s). At least one Remark Code must be provided (may be...
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I'm at a loss, particularly because you say these claims were paid previously. I would send an email to them (see the palmetto provider page for the email address), and keep it short and to the point:...
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Thank you for the suggestions Sharon. I've tried calling Palmetto several times and the reps insist that any location other than POS 11 and 12 require an NPI. I've contacted other offices and they...
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He provides services in Southern and Northern California. I spoke to provider enrollment and they told me that having 2 PTANs associated with 1 NPI should not cause this type of problem with the...
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Hi, I know this post was from a long time ago, but I was wondering if you ever found a solution to your issue with assisted living facilities not having a NPI number. We have multiple claims that have...
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Small DME in North Carolina. We have had an increase in bariatric service through Medicare. My question is, items such as low air loss mattresses, power chairs and bathroom equipment tend to cost much...
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Is your DMERC CGS? Here is a link to modifiers for them: http://www.cgsmedicare.co...odifiers_dme/results.asp I don't see anything there that would increase reimbursement, though. You may want to...
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Contacting the DMERC would be the only thing to do unless there are modifications to the equipment there would be add on codes. Unfortunately with some DME items you end up taking a loss like TBL...
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