Palmetto GBA E-mail Update: Tuesday, January 19, 2016

Providers Find eAppeals Easy to Use – You Will Too
Has your facility or office explored using Palmetto GBA’s eServices secure eAppeal process? If not, why not? It’s easy, free and quicker than submitting a paper appeal. See what providers are saying about how easy it is to use eAppeals.

Applies to:

  • JM Home Health and Hospice//General
  • JM Part A//General
  • JM Part B//General

Submitting Complete and Legible Medical Records is Key!
When submitting medical records to the CERT contractor, be sure the medical record submitted is complete and legible. Documentation must support the level of care and treatment and must be reasonable and necessary. Codes documented on the claim must be reflected in the medical record. Coders should ensure they use the correct code when coding services on the claim.

Applies to:

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

E/M Weekly Tip: Documentation Requirements for Teaching Physicians
E/M services billed by teaching physicians require that they personally document at least the following: that they performed the service or were physically present during the key or critical portions of the service when performed by the resident and the participation of the teaching physician in the management of the patient. Please share with appropriate staff.

Applies to:

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

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