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Submitting First Level Appeals Through the eServices Portal is fast and free!

December 14, 2016 by Jill Schuerman

For current eServices users, if you notice the ‘Messages’ and ‘Forms’ tabs are grayed out, ask your practice’s eServices administrator to use the ‘Admin’ tab to edit your user profile and give you access to these functions. A practice’s eServices administrator can review Section 10.0 for help editing an individual user’s access.

Instructions for submitting first level appeals are found in Section 8.0 of the eServices User Manual  found HERE

Using eServices for the submission of first level appeals saves time and money by avoiding postal time, and those submitted in this manner are reviewed more quickly by Palmetto.

Filed Under: Hospice Billing Information

Palmetto Provider Contact Center Training and Holiday Closure Schedule

December 7, 2016 by Jill Schuerman

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The Palmetto GBA Provider Contact Center (PCC) will continue to close up to eight hours per month for customer service representative (CSR) training and staff development. Please note that our Interactive Voice Response (IVR) unit will be available during these scheduled training sessions for automated customer service transactions. You may use our online provider portal called eServices to obtain claim status, duplicate remittances, patient eligibility and much more. Register now at www.PalmettoGBA.com/eServices clip_image001 . Listed below are training closure dates and times.

Date

PCC/Office Closed

December 16, 2016

PCC closed 8 a.m. to 12 p.m.

December 23, 2016

Office closed/Christmas Eve

December 26, 2016

Office closed/Christmas Day

January 2, 2017

Office closed/New Year’s day

January 13, 2017

PCC closed 8:00am-12:00pm

January 16, 2017

Office Closed/ Martin Luther King Jr. Day

January 27, 2017

PCC closed 8:00am-12:00pm

February 20, 2017

8 hour training- Presidents Day

March 10, 2017

PCC closed 8:00am-12:00pm

March 24, 2017

PCC closed 8:00am-12:00pm

April 7, 2017

PCC closed 8:00am-12:00pm

April 21, 2017

PCC closed 8:00am-12:00pm

May 5, 2017

PCC closed 8:00am-12:00pm

May 19, 2017

PCC closed 8:00am-12:00pm

May 29, 2017

Office Closed/ Memorial day

June 9, 2017

PCC closed 8:00am-12:00pm

June 23, 2017

PCC closed 8:00am-12:00pm

July 4, 2017

Office Closed/Independence Day

July 14, 2017

PCC closed 8:00am-12:00pm

August 4, 2017

PCC closed 8:00am-12:00pm

August 18, 2017

PCC closed 8:00am-12:00pm

September 1, 2017

PCC closed 8:00am-12:00pm

September 4, 2017

Office Closed/ Labor Day

September 15, 2017

PCC closed 8:00am-12:00pm

October 9, 2017

8 hours training-Columbus Day

November 10, 2017

8 hours training-Veteran’s Day

November 23, 2017

Office Closed/Thanksgiving

November 24, 2017

Office Closed/Thanksgiving

December 1, 2017

PCC closed 8:00am-12:00pm

December 15, 2017

PCC closed 8:00am-12:00pm

December 25, 2017

Office Closed/Christmas Eve

December 26, 2017

Office Closed/Christmas Day

January 1, 2018

Office Closed/New Year’s day

 

 

 

Provider Contact Center Training and Holiday Closure Schedule

Filed Under: Hospice Billing Information

CMS – Timeliness Compliance Threshold for HIS

November 30, 2016 by Jill Schuerman

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https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/Downloads/Timeliness-Compliance-Threshold-Fact-Sheet_Update_August-2016_FINAL.pdf

Filed Under: Hospice Billing Information

CMS puts out sample Hospice Election Form

November 30, 2016 by Jill Schuerman

The Office of the Inspector General (OIG) noted that hospice election statements lacked required information or had other vulnerabilities in more than one-third of general inpatient care stays. Notably, many did not mention, as required, that the beneficiary was waiving coverage of certain Medicare services by electing hospice care or that hospice care is palliative rather than curative. Please see MLN Matters Special Edition Article SE1628 for requirements about hospices and election statements. Model Medicare Hospice Election Statement language is included at the end of this article.

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1631.pdf

Filed Under: Hospice Billing Information Tagged With: CMS, Hospice Billing

CMS Releases Samples of Hospice Physician Certification /Recertification

November 30, 2016 by Jill Schuerman

Documentation Requirements for the Hospice Physician Certification/Recertification

This article is intended to provide guidance on the requirements for a valid physician certification and recertification. Any examples provided in this article are for illustration purposes only and do not in any way imply this is the only acceptable format. Hospice providers may choose to design their own forms or format, so long as all requirements of a valid physician certification are met.

 

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1628.pdf

Filed Under: Hospice Billing Information Tagged With: CMS

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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

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