Palmetto GBA E-mail Update: Friday, June 16, 2017

Provider Enrollment Revalidation – Cycle 2
Section 6401 (a) of the Affordable Care Act established a requirement for all enrolled providers/suppliers to revalidate their Medicare enrollment information under new enrollment screening criteria. In an effort to streamline the revalidation process and reduce provider/supplier burden, CMS has implemented several revalidation processing improvements that are captured within this article. Make sure your staff is aware.

Applies to:

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

Reminder of Advance Beneficiary Notice of Noncoverage (ABN) Renewal
The Centers for Medicare & Medicaid have renewed the Advance Beneficiary Notice of Noncoverage (ABN) Form CMS-R-131. Please note no changes have been made to the form itself; however, the newly incorporated expiration date is March 2020. Please share with appropriate staff.

Applies to:

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

E/M Weekly Tip: General Documentation
You may only use one set of evaluation and management (E/M) guidelines when selecting the appropriate CPT code. Mixing or combining of the two sets of guidelines is not acceptable. Please share with appropriate staff.

Applies to:

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

Signatures, Credentials and Dates: They Are Important
Each entry in the patient’s medical record requires the acceptable signature of the person writing the note along with the date. Palmetto GBA also recommends the inclusion of the applicable credentials (e.g. P.A., D.O. or M.D.), especially when the services being billed are only coverable when performed by certain credentialed professionals. Please share with appropriate staff.

Applies to:

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

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