Palmetto GBA E-mail Update: Wednesday, March 08, 2017

Are you an eServices user who has received an error message when trying to attach documents?
You may add attachments up to 40 megabytes (MB) each to a form. While there is no longer a limit to the number of files that can be attached to this form, the combined size of all attachments cannot exceed 150 MB. All attachments must be in PDF format unless otherwise noted in the eServices user manual. Files must be either PDF or Excel format for Credit Balance Reporting. For Cost Report forms, eServices users may submit attachments in one of the following formats: PDF, Excel (*.xls, *xlsx), or HSF (*.##a1).

Applies to:

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

Inquiries for Unprocessable/Rejected Claims
Did you know the top two reasons for Palmetto GBA Provider Contact Center inquiries in February all had to do with claims that were unprocessable or rejected? When a claim is rejected (also referred to as unprocessable) the claim is no t afforded appeal rights. You must correct and refile the claim correcting the missing, invalid or incomplete information. Reason code MA-130 will appear on your remittance advice (RA) along with one or more remark codes that outline the error causing a claim to be considered unprocessable. If your clearinghouse is not providing you with associated remarks code to explain why a claim was rejected, speak with your clearinghouse to receive that information. Please share with appropriate staff.

Applies to:

  • JM Part B//General

Part B Ask the Contractor Teleconference: Top Part B Medical Review Denials
The Jurisdiction M Part B Ask the Contractor Teleconference Q&A Document is now available.

Applies to:

  • JM Part B//General

RESOLVED 2017 Moderate Sedation CPT Codes
The JM and Railroad Resolved Moderate Sedation CPIL has been updated to include additional codes affected by this issue. See the CPIL for full details (Post Resolution Update) and share with appropriate staff.

Applies to:

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

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