Palmetto/J1MAC Website Updates

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


2009 Annual Update for the Health Professional Shortage Area (HPSA) Bonus
Payments
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~Articles~General~2009%20Annual%20Update%20for%20the%20Health%20Professional%20Shortage%20Area%20(HPSA)%20Bonus%20Payments?opendocument

Change Request 6150 provides Palmetto GBA with the names of the test and
final files for the Health Professional Shortage Area (HPSA) bonus payments
for 2009 and alerts providers that the 2009 file will be posted to the
Centers for Medicare & Medicaid Services (CMS) Web site when it is
available.


Applies to:
Jurisdiction 1//J1 Part B: General
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Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) Imaging for
Infection and Inflammation
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~Articles~Radiology~Fluorodeoxyglucose%20(FDG)%20Positron%20Emission%20Tomography%20(PET)%20Imaging%20for%20Infection%20and%20Inflammation?opendocument

This article is based on Change Request (CR) 6099 instructing that the
Centers for Medicare & Medicaid Services (CMS) is continuing its national
non-coverage policy for the off-label indications of fluorodeoxyglucose
(FDG) Positron emission tomography (PET) imaging for chronic osteomyelitis,
infection of hip arthroplasty, and fever of unknown origin.


Applies to:
Jurisdiction 1//J1 Part B: General
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October Update to the 2008 Medicare Physician Fee Schedule Database
(MPFSDB)
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~Publications~Fee%20Schedules~October%20Update%20to%20the%202008%20Medicare%20Physician%20Fee%20Schedule%20Database%20(MPFSDB)?opendocument

Physicians and providers who submit claims to Palmetto GBA for services
rendered to Medicare beneficiaries paid based on the MPFSDB. The October
2008 MFSDB changes are outlined in this article.


Applies to:
Jurisdiction 1//J1 Part B: General
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Overpayment Refund Form: Medicare Part A and B
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20A~Resources~Forms~Overpayment%20Refund%20Form:%20Medicare%20Part%20A%20and%20B?opendocument

An updated Medicare Overpayment form is now available online. Overpayments
are Medicare funds a Provider, Physician/Supplier or Beneficiary has
received in excess of amounts due and payable by Medicare. Once a
determination of overpayment has been made, the amount is a debt owed to
the United States Government. When you identify an overpayment, please send
a check with the completed form to Medicare for that amount. This will
prevent offsets or delay of future claim payments.

Applies to:
Jurisdiction 1//J1 Part A : General
Jurisdiction 1//J1 Part B: General
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Physician Signature Requirements for Diagnostic Tests
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Jurisdiction%201%20Part%20B~Articles~General~Physician%20Signature%20Requirements%20for%20Diagnostic%20Tests?opendocument

A physician’s signature is not required on orders for clinical diagnostic
tests (including x-ray, laboratory, and other diagnostic tests) that are
paid on the basis of the clinical laboratory fee schedule, the Medicare
physician fee schedule, or for physician pathology services. While a
physician order is not required to be signed, the physician must clearly
document in the medical record his or her intent that the test be
performed. Make sure that your office, billing, and/or laboratory staffs
are aware of this updated guidance regarding the signature requirement for
diagnostic tests.


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