List Serv Palmetto/J1MAC Website Update

The following updates have been posted to the Palmetto/J1MAC website.

CCI Edit Changes: Column I and Column II Codes
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~Articles~General~CCI%20Edit%20Changes:%20Column%20I%20and%20Column%20II%20Codes?opendocument

There is an important change that affects codes bundled with CCI edits.
Effective for date of service on and after July 1, 2008, if documentation
in the patient's medical record supports the use of CPT modifier 59 for
your code pair (containing a Column I and Column II code), CPT modifier
must be submitted with the Column II code only. Previously, Palmetto GBA
accepted claims for Column I/Column II code pairs when either code was
submitted with CPT modifier 59.

Applies to:
Jurisdiction 1//J1 Part B: General
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Telephone Claim Correction Checklist
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~Resources~Appeals~Telephone%20Claim%20Correction%20Checklist?opendocument

Do you need assistance to correct a simple error made on a claim? Please
see the checklist in this article for the type of issues that can be
corrected by telephone instead of filing a Redetermination (1st level of
appeal). Please contact us at 1-866-669-5543, Monday-Friday, anytime
between 7:00 a.m.-3:00 p.m. PST. Be prepared to provide the provider's
identifier and the patient's Medicare number, last name and first initial.
We can handle three qualified requests per call.

Applies to:
Jurisdiction 1//J1 Part B: General