Palmetto GBA E-mail Update: Friday, October 30, 2015

ICD-10 Transition Moves Forward
On October 1, 2015, health systems across the country transitioned to the International Classification of Diseases, 10th Revision – ICD-10. This change will enable providers to capture more details about the health status of their patients to improve patient care and public health surveillance. CMS has been carefully monitoring the transition and is pleased to report that claims are processing normally. With this in mind, CMS is continuing its vigilant monitoring process of the ICD-10 transition and can share the following metrics detailing Medicare Fee-for-Service claims from October 1 – 27.

Applies to:

  • JM Home Health and Hospice//General
  • JM Part A//General
  • JM Part B//General
  • Railroad Medicare (RRB)//General – Railroad Medicare

Don’t Let the Online Provider Portal Name Change Leave You Feeling Disconnected
Palmetto GBA’s Online Provider Services will soon change its name to eServices. Providers will still be able to access all the same information within the portal, but some of the URLs will change. Users who attempt to access old URLs via bookmarks will be directed to an error page. Be on the lookout for additional information on the webs ite regarding Palmetto GBA’s online provider portal, eServices.

Applies to:

  • JM Home Health and Hospice//General
  • JM Part A//General
  • JM Part B//General
  • Railroad Medicare (RRB)//General – Railroad Medicare
  • Online Provider Services//General Information

Bone Mass Measurement National Coverage Determination 150.3
Some claims for bone mass measurement studies, with dates of service October 1, 2015 and after, are denying in error. No provider action is necessary. Palmetto GBA will be making updates to editing to prevent inappropriate denials and will be conducting a mass adjustment. Please share with appropriate staff.

Applies to:

  • JM Part B//General
  • Railroad Medicare (RRB)//General – Railroad Medicare

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