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Palmetto GBA | Account Linking

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Managing Multiple eService Accounts Just Got Easier with Account Linking at Palmetto GBA

Palmetto GBA is excited to announce the highly anticipated eService enhancement- Account Linking! No longer will providers need a separate login for each PTAN and NPI combination. Palmetto GBA now gives users the ability to link their previously assigned eServices user IDs under one default ID. Getting started is simple! Users should log into eServices with the user ID that they wish to designate as their default login ID. This is the user ID that will be used to access the linked accounts. Once the user has successfully logged into eServices, they will select the My Account Tab and then access the Account Linking sub-tab. This will allow the provider to choose the accounts they wish to link.

Note: Providers are only able to link active eServices accounts.

Once your accounts are linked you will be able to log in, click a drop down menu that lists all your linked NPI and PTAN combinations attached to your ID, and select the individual account you’d like to view. For complete step-by-step instructions, please view the eServices User Guide   (PDF, 6.52 MB).

 

CGS Updates Telephone Inquiry System

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CGS implemented the Computer Telephony Integration (CTI) system on October 6, 2016. Please be advised that the CTI is unable to authenticate provider information when the Provider Transaction Access Number (PTAN) contains any alpha character (e.g., 123456X or 12X345). Therefore, at this time, if you have a PTAN with an alpha character, when calling the Provider Contact Center, select Option 9 for general questions. You will be directed to a CSR who will then follow the authentication process. CGS is working to update the CTI in order to authenticate this type of PTAN.

For more details about the CTI, please refer to the previously published resources listed below.

http://cgsmedicare.com/hhh/help/pdf/ivr_cs_guide.pdf

October 2016 Release ‘Dark Days’ for the Common Working File (CWF) Hosts

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For the upcoming October 2016 Release, the CWF Hosts will not process claims beginning Friday, September 30, 2016 through Sunday, October 2, 2016. During this period, which is commonly referred to as \”dark days,\” the CWF Hosts will install the October 2016 Release, complete weekly/monthly/quarterly processing activities, and perform scheduled data center maintenance. This means Medicare Administrative Contractors (MACs) will not have access to the Health Insurance Master Record (HIMR) and Beneficiary Data Streamlining (BDS) transactions. Eligibility information in HIQA and HIQH will also not be available to providers.

You should continue to submit your NOE/NOTR as the FISS system will be up, and will capture your submission date. They will not process until Monday October 3rd.

Eligibilities will NOT be updated since claims will not be processing. Therefore, plan to run an additional HIQA on Monday and again on Tuesday to make sure that you have captured all prior hospice information, and to verify if you needed a F2F for admission. If so, please complete no later than Tuesday.

DDE/PPTN User ID Annual Recertification

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DDE/PPTN User ID Annual Recertification Process with CGS.

If you are an active DDE/PPTN user and you do not receive an email by October 1, 2016, please contact the CGS EDI Helpdesk:

Each year, Medicare providers are required to certify their Direct Data Entry (DDE) and/or Professional Provider Telecommunication Network (PPTN) user access. If recertification information is not verified and returned timely as described below, your access will be terminated.

Beginning on September 21, 2016, CGS will email DDE/PPTN recertification notices to all active Part A, Part B and HHH DDE and PPTN ID recipients or the contact person. Emails will continue to be distributed over the next several weeks.

Recertification notices must be completed and faxed within three days of receipt of your email. The returned recertification notice must include any approved changes, an authorized signature and date. Note:  Name changes are not allowed for DDE/PPTN user IDs.

Please do not respond directly to the email. CGS will only process recertification notices faxed to:

Ohio Part A – 1.615.664.5945 Kentucky Part A – 1.615.664.5943
Ohio Part B – 1.615.664.5927 Kentucky Part A – 1.615.664.5917
Home Health & Hospice – 1.615.664.5947

If you are an active DDE/PPTN user and you do not receive an email by October 1, 2016, please contact the EDI Helpdesk:

Part A – 1.866.590.6703, option 2
Part B – 1.866.276.9558, option 2
HHH – 1.877.220.6289, option 2

Failure to respond to the recertification notice may result in the termination of a DDE/PPTN user ID. If your ID is revoked and/or terminated, you will need to apply for a new ID by completing the Online Inquiry Service form. The normal processing time to receive a new user ID is 20 business days.

If you have any questions concerning the recertification process, please contact the CGS J15 EDI department. 

Each year, Medicare providers are required to certify their Direct Data Entry (DDE) and/or Professional Provider Telecommunication Network (PPTN) user access. If recertification information is not verified and returned timely as described below, your access will be terminated.

Beginning on September 21, 2016, CGS will email DDE/PPTN recertification notices to all active Part A, Part B and HHH DDE and PPTN ID recipients or the contact person. Emails will continue to be distributed over the next several weeks.

Recertification notices must be completed and faxed within three days of receipt of your email. The returned recertification notice must include any approved changes, an authorized signature and date. Note:  Name changes are not allowed for DDE/PPTN user IDs.

Please do not respond directly to the email. CGS will only process recertification notices faxed to:

Ohio Part A – 1.615.664.5945 Kentucky Part A – 1.615.664.5943
Ohio Part B – 1.615.664.5927 Kentucky Part A – 1.615.664.5917
Home Health & Hospice – 1.615.664.5947

If you are an active DDE/PPTN user and you do not receive an email by October 1, 2016, please contact the EDI Helpdesk:

Part A – 1.866.590.6703, option 2
Part B – 1.866.276.9558, option 2
HHH – 1.877.220.6289, option 2

Failure to respond to the recertification notice may result in the termination of a DDE/PPTN user ID. If your ID is revoked and/or terminated, you will need to apply for a new ID by completing the Online Inquiry Service form. The normal processing time to receive a new user ID is 20 business days.

If you have any questions concerning the recertification process, please contact the CGS J15 EDI department.

 

RUN NEW HIQA ON ALL PATIENTS

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All Providers should run HIQA’s on all current patients as soon as possible to see if they are affected by the following issue.  CMS has announced that there have been erroneous death terminations for over 3,000 beneficiaries on Aug. 10 and Aug. 11, 2016, as well as 300 Rep Payees.  If the Rep Payee has been terminated due to death, the beneficiary they represent has had their benefits suspended.

Click here for more information.

 

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Schuerman Business Consulting

Jill Schuerman, Founder and CEO
Schuerman Business Consulting, LLC
PO Box 50625
Denton, TX 76206-0625

469-931-8151

jills@hospice-billing.com
www.hospice-billing.com