Tuesday, September 2, 2008

Palmetto/J1MAC Website Updates

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

Clinical Social Worker Services
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Clinical%20Social%20Worker%20Services?opendocument

Services of a clinical social worker (aka CSW) are not covered when
furnished to inpatients of a hospital or to inpatients of a SNF if the
services furnished in the SNF are those that the SNF is required to furnish
as a condition of participation in Medicare.

Applies to:
Part A Transition: General
Part B Transition: General
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J1 A/B MAC LCD Reconsideration Requests
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/J1%20AB%20MAC%20LCD%20Reconsideration%20Requests?opendocument

J1 A/B MAC LCD Reconsideration Requests

Applies to:
Part A Transition: General
Part B Transition: General
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J1 EDI Extended Hours for One Week
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/J1%20EDI%20Extended%20Hours%20for%20One%20Week?opendocument

Palmetto GBA EDI Operations will remain open an extra two hours Tuesday
through Friday, September 2-5, as well as on Saturday from 8:00 a.m. PT
until 5:00 p.m. PT.

Applies to:
Part A Transition: EDI
Part B Transition: EDI
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NHIC Customers (Segment 3): The J1 Part B Go Live date is September 2,
2008!
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/NHIC%20Customers%20(Segment%203)%3A%20The%20J1%20Part%20B%20Go%20Live%20date%20is%20September%202%2C%202008!?opendocument

Attention NHIC Customers (Segment 3): 4 days and counting. Are you ready
?!? If you currently receive electronic payments from your current
contractor and have not submitted an updated CMS-588 Form to Palmetto GBA,
please do so immediately.

Applies to:
Part B Transition: EDI
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Paper Claims Containing Multiple Services: Verify Payments
http://www.palmettogba.com/palmetto/j1.nsf/DocsCat/Paper%20Claims%20Containing%20Multiple%20Services%3A%20Verify%20Payments?opendocument

If you submitted paper claims to your Jurisdiction 1 Outgoing Contractor
(OGC) prior to August 1, 2008, some service lines may have been
inadvertently omitted from the information transferred to Palmetto GBA.
These processing errors affect paper claims only that were submitted during
this transitional period.

Applies to:
Part B Transition: General

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