Palmetto/J1MAC News

The following information has been received by ANCO.


****PALMETTO/J1MAC NEWS****
2009 PQRI and eRx Incentive Program Feedback Reports
After beginning the release of the 2009 PQRI feedback reports, the Centers
for Medicare & Medicaid Services (CMS) temporarily halted production of the
files to investigate some conflicting field information in the reports. The
2009 PQRI and eRx Incentive Program feedback reports will soon be made
available on the PQRI portal. CMS anticipates that the Taxpayer
Identification Number (Tax ID Number or TIN) level reports, which include
the National Provider Identifier (NPI) level reports, will be available the
week of November 22, 2010, on the PQRI Portal. Individual NPI reports will
be made available shortly afterward.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8BBGD64145?opendocument&utm_source=J1BL&utm_campaign=J1BLs


PC-ACE Pro32 Training Modules
Palmetto GBA is pleased to announce the availability of new Web-based
PC-ACE Pro32 training modules for Part A and Part B providers. PC-ACE Pro32
is a complete, self-contained electronic processing system for health care
claims submission and management. This system does not integrate into
office systems, such as accounts receivable, inventory or billing. It
provides you with the ability to enter patient, claim and procedure file
information while creating summary reports of the claims you submit
electronically.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~857MGQ4785?opendocument&utm_source=J1BL&utm_campaign=J1BLs


November 25 through 26 Medicare Payments
Palmetto GBA will not issue Medicare payments on November 25 through 26
because of the Thanksgiving holiday. Payments will be issued as usual on
November 24 and will resume on November 29.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8BBQYG0836?opendocument&utm_source=J1BL&utm_campaign=J1BLs


Provider Education for Handling National Provider Identifier (NPI) Issues
Related to Deceased Providers Who Had an NPI
This J1 Part B MLN Matters article (CR6984) explains how claims should be
submitted by representatives of deceased providers who had obtained an NPI
prior to death. A claim submitted after May 23, 2007, for a deceased
provider who had an NPI will be rejected by Medicare because the provider’s
NPI was deactivated in the Medicare claims processing system due to the
provider’s death. When a deceased provider’s claim is rejected by a
Medicare Contractor because of the absence of an NPI, the claim submitter
is expected to contact the Medicare Contractor to discuss payment of the
claim and the provider’s death. Providers are encouraged to review the
information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/ls/J1B~8BATB38107?opendocument&utm_source=J1BL&utm_campaign=J1BLs


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