Palmetto GBA E-mail Update: Tuesday, January 26, 2016

Tuesday, January 26, 2016

eServices: How Often is Patient Eligibility Updated?
The eServices application is required to use CMS’ HETS 270/271 system for all eligibility inquiries. Although eServices pulls data from HETS in real time, the data available in the HETS 270/271 system is only updated at certain times. CMS currently pulls the updated data Tuesday through Saturday during the hours of 6 p.m. and 8 p.m. This data is then uploaded into HETS during the hours of 9 p.m. to 6 a.m. As soon as updated data is available in the HETS 270/271 system, providers will be able to view it in eServices.

Applies to:

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

Documenting Specific Services in the Medical Record
Providers should document specific services in the medical record. All services require the basic information in the medical record. Please share with appropriate staff.

Applies to:

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

Provider Enrollment Open House: Available the First Tuesday of the Month
Palmetto GBA’s Provider Enrollment Department holds an open house at our Palmetto GBA office located at 17 Technology Circle Columbia, South Carolina 29203, the first Tuesday of each month. This open house is for any of Palmetto GBA’s Part B providers who would like to stop by and receive answers to their questions concerning their Medicare provider enrollment applications.

Applies to:

  • JM Part B//General

E/M Weekly Tip

E/M Weekly Tip: Documentation of Prolonged Care
Documentation is required in the medical record about the duration and content of the medically necessary evaluation and management service and prolonged services billed. Please share with appropriate staff.

Applies to:

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

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