Palmetto GBA E-mail Update: Monday, July 31, 2017

Correct Date of Service for Specific Services
This article is applicable to physicians, non-physician practitioners, and others submitting claims on a CMS-1500 form for reimbursement for Medicare Part B services. Physicians and non-physician practitioners need to identify the correct date of service for the services they provide to a Medicare patient.Please review and share it with your staff.

Applies to:

  • JM Part B//General

Opt Out Listing
This article includes a listing of those providers who have elected to opt out of the Medicare program. If you’ve recently opted out of the Medicare Program it’s possible that your name will not appear on the website until the next quarterly update. Please share with appropriate staff.

Applies to:

  • JM Part B//General

New Waived Tests
Change Request (CR) 10198 informs MACs of new Clinical Laboratory Improvement Amendments of 1988 (CLIA) waived tests approved by the Food and Drug Administration (FDA). Since these tests are marketed immediately after approval, the Centers for Medicare & Medicaid Services (CMS) must notify MACs of the new tests so that they can accurately process claims. Make sure that your billing staffs are aware of these CLIA-related changes.

Applies to:

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

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