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What's New
Palmetto GBA Medicare — Helpful Information
- If you have more than one Medicare Provider Transaction Access Number (PTAN) that corresponds to your
billing and/or rendering National Provider Identifier (NPI), you may be experiencing a delay in claims processing
and payment. Avoid delays by ensuring there is a one-to-one match between your NPI and PTAN. You can do
this by collapsing your PTANs or enumerating additional NPIs. If you have received development letters and
would like to collapse your PTAN(s) to ensure a one-to-one match, Palmetto GBA will manually release your
current pending claims and any future claim submissions while your enrollment application is being processed.
By completing and submitting the Provider Authorization to Release Claims form, you give permission to
release all claims based on the information you provide. We will continue to release your claims until the
collapsing of your PTANs has been completed. For more information on this article, visit Palmetto GBA website.
- Numerous Redetermination requests submitted to NHIC prior to August 8, 2008, and which were transitioned to
Palmetto GBA, were not immediately available for processing. As a result, the Palmetto GBA redetermination
team was not able to begin working these appeals until the end of September of 2008. This resulted in a
backlog of redetermination requests. Palmetto GBA is working diligently to complete the transitioned
redetermination requests by early December of 2008. No action is required. Please do not re-submit requests
that were originally submitted to NHIC. You may continue to check on the status of your request by calling our
Provider Contact Center.
- It appears that during the transition to Palmetto GBA many providers, at one time, enrolled for electronic
remittances, but decided not to take advantage of this service and continued to rely on the hard copy remits,
which they continued to receive from their outgoing contractor. They did not experience problems with their
remittance status with Palmetto GBA until 45 days after the newly set remit counter elapsed and their hard copy
remits were correctly deactivated. If you have been affected by this scenario, please fax a request for
remittance status change on company/provider letterhead to (803) 935-0008, along with your e-mail address.
Your remittance status will be changed to hard copy. This fax number is only for addressing the remittance
status issue. For more information about the published article, please visit Palmetto website, under Providers /
Jurisdiction 1 Part A / EDI / General.
- Is documentation required with the claim when submitting CPT modifier 24? If HCPCS modifiers GN and KX are
both required, which modifier should be submitted first? Find these answers and more in the Modifier Lookup.
This handy tool contains all the information you need to document and correctly submit modifiers. Palmetto
GBA revises the information in the Modifier Lookup frequently based on your questions and new published
guidance.
- Are you eligible for Advanced Payments to Providers of Part B Services? Visit Palmetto website and see if you
meet the requirements. Article is located Providers / Jurisdiction 1 Part B / Articles / General - Palmetto GBA has been forwarding the MCS Batch Control Listing (BCL) report during early boarding from the
outgoing Part B contractors. GPNet, their EDI front-end, generates a similar response report that includes the
acceptance or rejection status of claim files. Since the information on the BCL report is duplicated in the GPNet
Response Report, Palmetto GBA will no longer forward BCL reports after cutover verification has been
completed. - If you are having problems with rejections that were not occurring when you were billing NHIC Medicare, you
may want to check the “Alerts” area on the Palmetto website. It has information on how to perform certain
billing operations with Palmetto. - If your Palmetto reports have suddenly become unreadable, this could be caused by a change in report format
that Palmetto has been randomly making in some clients mailboxes. To correct this problem, Palmetto must
be notified by e-mail that you want them to set the reports back to their original format. Call us if you need
assistance with this problem. - Palmetto GBA EDI Technology Support Center, states that the best time to call is between the hours of 3:00pm
and 5:00pm PST. The Support Center opens at 5:00am PST; therefore, a very early morning call would also
yield quick response time. - With Palmetto telephone on hold wait times routinely exceeding two hours, consider sending an email to
Palmetto, rather then sitting on hold. The EDI Department email address is medicare.edi@palmettogba.com - Utilize their website http://www.palmettogba.com/J1B
- Familiarize yourself with the report that you need to download after every claims submission:
- RSP000XX.RSP CLAIM RESPONSE—This report is available to download right after claims submission.
The Claim Response report shows the total claims submitted and the claims rejected.
- Errors found on the Claim Response report can be explained in the “GPNet Edits Manual” which is available
for download on Palmetto’s website. Below lists common errors and their descriptions.
- MSG-V1E— Subscriber zip invalid. Verify the subscriber’s zip code, correct and print, store, batch and
send the claim.
MSG-VBC—Invalid DX code. Correct the diagnosis code and print, store, batch and send the claim.
MSG-C26—Admission Date required in 2300 loop. Add the Hospital In Date, print, store, batch and send
the claim.
MSG-V19—Subscriber ID = INV format. Verify the subscriber’s ID, correct and print, store, batch and
send the claim.
- Effective December 1, 2008, Tele Comm began utilizing a new technology that will provide faster after hours
service. Our new Direct Connect service will connect you directly to a Tele Comm service representative when
you call after hours or on the weekend. This new service is provided free of charge to all of our service
contract clients.
- If you are looking for an all-in-one office system, Tele Comm has the solution for you. Our all-in-one system
allows you to configure the system the way you want it at a price that is right for you. You can have a totally
integrated system that will electronically chart your patients, manage your prescriptions, electronically bill
insurance and patients, automatically post payments, and produce financial reports that you can create. The
time has come to automate your office and Medicare will give you a 2% incentive payment to get started. Call
us today at 1-800-689-8100 to learn more.
- Tele Comm Computer Systems Inc is now providing you with a new unique service that will simplify your
bookkeeping with once a month billing, make it quick and easy to pay your bill, and help you keep better track
of your account with Tele Comm. This new service is the Automated Billing Cycle, and is FREE!
Here’s how it works:
For example: October 5th you order a box of forms, October 15th you order a couple of ribbons, and October
20th you order a case of envelopes. Although all items are shipped immediately after they are ordered, your
bill is not e-mailed to you until November 1st. On November 1st all the items will appear on one bill and you
can review your bill and/or your entire account on-line. On November 5th the bill is automatically processed for
payment and charged to whatever credit card you choose. There are no paper invoices to handle, no checks
to write, no mail to send, AND, you can be accumulating points on the credit card of your choice!
All you need to do to take advantage of this service is to simply call or e-mail Ann at 800-689-8100 or
ann@telecommcomputersystems.com.
- Do you want to reduce your office expenses and eliminate time consuming busy work in your office? Then
consider having someone else deal with all the statement printing, folding, stuffing, and mailing. Send your
statements over the Internet to a statement processing center and they will do all the work for you for less than
it would cost you. That’s right, you can save time and save money. Call us today at 800-689-8100 for more
information on this exciting enhancement to the TCXMED software.
- For approximately $1 a day, your office can be billing ALL electronic claims to ALL electronic insurance
companies AND check Medicare eligibility on line through the Internet. With the TCXMED software and our
new “Two-For-All” claim processing center setup, billing claims has never been easier. That’s right, no more
paper, forms, ink cartridges, phone lines, modems, envelopes, stamps, lost mail, or labor. And what about
those pesky claims that have to be sent on paper? They can also be also be sent through the Internet to the
claims processing center where they will be printed and mailed for less money than the cost of a postage
stamp!
- The appointment reminder expansion module is a sophisticated software package that is totally integrated into
the TCXMED application. Reminders can be sent directly from the TCXMED appointment scheduler. They can
be programmed to be sent at any time to patient email accounts, home phones, or cell phones. The results of
the reminder are reported directly back to the TCXMED appointment scheduler, and any voice message left by
the patient can be listened to directly from any computer accessing the TCXMED appointment scheduler. Call
our office to receive more information about the appointment reminder expansion module and the TCXMED
program.
- This is a very malicious virus, please read the following information carefully.
From Wiki-Security, the free encyclopedia of computer security.
XPAntiVirus (also known as XP Anti Virus, XPAnti Virus and XP AntiVirus) is fake spyware removal tool that is
usually downloaded onto your computer by a Trojan (most likely the Zlob Trojan) or under dubious
circumstances without your consent. Once downloaded, XPAntiVirus begins to haunt the user by displaying
false security alerts and "detecting" fake threats. The purpose is to get the user to purchase the full version of
XPAntiVirus spyware removal application. Detection of XPAntivirus (Recommended)
XPAntivirus is difficult to detect and remove. XPAntivirus is not likely to be removed through a convenient
"uninstall" feature. XPAntivirus, as well as other spyware, can re-install itself even after it appears to have been
removed. You also run the risk of damaging your computer since you're required to find and delete sensitive
files in your system such as DLL files and registry keys. It is recommended you use a good spyware remover to
remove XPAntivirus and other spyware, adware, trojans and viruses on your computer.
Method of Infection
There are many ways your computer could get infected with XPAntivirus. XPAntivirus can come bundled with
shareware or other downloadable software. Another method of distributing XPAntivirus involves tricking you by
displaying deceptive pop-up ads that may appear as regular Windows notifications with links which look like
buttons reading Yes and No. No matter which "button" that you click on, a download starts, installing
XPAntivirus on your system. XPAntivirus installs on your computer through a trojan and may infect your system
without your knowledge or consent.
Symptoms
XPAntivirus may attempt to change your computer's desktop, hijack your browser, monitor your Internet
browsing activities, change system files, and can do this without your knowledge or permission. Therefore, it is
strongly recommended to remove all traces of XPAntivirus from your computer.
- We want to know what you think! Please let us know if you have any TCXMED program requests.
Click here to fill out the TCXMED Program Request form and SUBMIT.
| What's New |
| __________________________________________________________________ ARCHIVES |
New Products and Services from Tele Comm
- Imagine...no more fax machine, no more ink cartridges, no more paper faxes, no more fax filing, no more
shredding, and never lose another fax. TCXFAX delivers all of this and more. You will be saving money with
your first fax. Sign up for this exciting new service before March 31, 2010 and you will receive your first month
service FREE!
- Now insurance eligibility checking is easier than ever. Eligibility checking can take place directly from the
appointment book, and the results will be reported directly back to the appointment book. Call today and learn
about the many options for integrated eligibility checking.
- Tele Comm can install a credit card swiper that will process patient payments and automatically apply the
payment to charges in the TCXMED software. All of this convenience and probably for less than your existing
credit card system. If you do not already have a system, this is the perfect choice for you.
- Tele Comm now offers a complete SUITE of service for your office. For a low monthly fee we can take care of
everything including Internet and Infrastructure.
Medicare Updates
- Update on Claims Processing for Ordering/Referring Providers
- Updated Information Regarding the Holing of Claims for Services Paid Under the 2010 Medicare
Physician Fee Schedule - Earn CEUs with CMA Hosted Webinars
- Free MLN Educational Products
- The National Provider Identifier (NPI): What You Need to Know Booklet is Now Available for
Download! - Watch out for your MCPSS Media Kit 2010
- Medicare Claims Crossover to Supplemental Payer Problems