Palmetto GBA - Regional Home Health & Hospice Intermediary (RHHI)

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Palmetto GBA welcomes your comments and questions. You can get in touch with us in writing, by telephone or via e-mail. Palmetto GBA is the fiscal intermediary for Home Health and Hospice providers in Alabama, Arkansas, Florida, Georgia, Indiana, Illinois, Kentucky, Louisiana, Mississippi, New Mexico, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee and Texas.

Note: We respond to inquiries in the order in which we receive them. Please allow us time to research your question in order to provide you with the best possible service.

Department	Contact Information	Type of Inquiry
Provider Enrollment	Home Health and Hospice Providers Standard Mailing Address Palmetto GBA P.O. Box 100144 Columbia, SC 29202 Overnight Mailing Address Palmetto GBA Part A Provider Enrollment Mail Code: AG-331 2300 Springdale Drive Building One Camden, SC 29020	Enrollment (credentialing) questions Request CMS-855 B, I or R forms Change address, add a location, add a new member to a provider group Independent Diagnostic Testing Facility (IDTF) enrollment Electronic Funds Transfer (EFT) CMS 588 form Medicare Participating Physician or Supplier Agreement (PAR) CMS 460 form How to obtain a National Provider Identifier (NPI) Participation corrections IRS 1099 tax form corrections Consent forms
Medicare Secondary Payer (MSP)	The Coordination of Benefits Contractor (COBC). Customer Service Representatives are available to provide you with quality service Monday through Friday from 8 a.m. to 8 p.m. EST, except holidays. Toll-free number: (800) 999-1118 TTY/TDD: (800) 318-8782 for the hearing and speech impaired	MSP questions Questions regarding beneficiary's primary or secondary records The COB Contractor's trained staff will help you with COB questions
Claims	Palmetto GBA Mail Code: AG-600 P.O. Box 100238 Columbia, SC 29202-3238	Request for reopenings Clerical Error Reopening Form (PDF, 23 KB) Hardcopy Claim Adjustment / Correction Request Form (PDF, 414 KB) Questions regarding claim filing requirements General questions regarding Medicare guidelines or coverage More detailed explanation of Medicare denials
Appeals	Palmetto GBA Medicare Part A Appeals Mail Code: AG-630 P.O. Box 100238 Columbia, SC 29202-3238 For Fed Ex / UPS / Certified Mail Palmetto GBA Medicare Part A Appeals Mail Code: AG-630 Building One 2300 Springdale Drive Columbia, SC 29020	Request for Redeterminations Redetermination Form (PDF, 30 KB)
Electronic Data Interchange (EDI)	Palmetto GBA Mail Code: AG-420 P.O. Box 100145 Columbia, SC 29202-3145 EDI Help Desk: (866) 749-4301	EDI enrollment and other EDI-related issues Administrative Simplification and Compliance Act (ASCA) Electronic Remittance Advice (ERA) Medicare Remit Easy Print (MREP) PC-Ace Pro 32 (Billing Software) Direct Data Entry (Billing Software)
Overpayments	Standard Mailing Address Palmetto GBA P.O. Box 100278 Columbia, SC 29202-3277 Overnight Mailing Address Palmetto GBA Medicare Part A Overpayments Mail Code: AG-340 2300 Springdale Drive Building One Camden, SC 29020 Provider Inquiries: Please leave your provider name, number, telephone number, contact name and a brief description of the inquiry: (803) 763-5960 To request an immediate offset, fax your request to (803) 935-0056.	Overpayments
Cost Report	Standard Mailing Address Palmetto GBA Attn: Cost Report Acceptance Mail Code: AG-330 P.O. Box 100144 Columbia, SC 29202-3144 Overnight Mailing Address Palmetto GBA Medicare Finance Mail Code: AG-260 2300 Springdale Drive Building One Camden, SC 29020-1728 Address to Mail Checks for Cost Report Overpayments Palmetto GBA Medicare Finance Mail Code: AG-260 P.O. Box 100277 Columbia, SC 29202-0277	Cost Reports Checks Correspondence
Audit and Reimbursement	PCC: (866) 801-5301 Palmetto GBA Mail Code: AG-330 P.O. Box 100144 Columbia, SC 29202-3144	Audit and Reimbursement issues Reimbursement specialist
Interactive Voice Response (IVR) System	IVR System: (866) 801-5301 Note: You will be prompted for your PTAN, NPI and TIN.	Patient eligibility and claims status Order copies of the Standard Provider Remittance (SPR) IVR User Guides
Provider Contact Center (PCC)	PCC: (866) 801-5301 Palmetto GBA Provider Contact Center Mail Code: AG-620 P.O. Box 100238 Columbia, SC 29209-3228 Available Monday through Thursday from 8 a.m. to 5 p.m. Available Friday from 8 a.m. to 2 p.m. Note: The PCC will close for customer service training the first four Fridays of each month from 2 p.m. to 4 p.m. On these days a live representative will be available from 8 a.m. to 2 p.m. and from 4 p.m. to 5 p.m. When there is a fifth Friday, a live representative will be available without interruption from 8 a.m. to 5 p.m. E-mail RHHI to have your inquiry answered. Please do not include any Protected Health Information.	General coverage and Medicare-related questions Crossover questions Questions regarding claim filing requirements Explanation of denial reasons IVR resources MSP resources Modifier guidelines Medical record documentation questions
Beneficiary Customer Service Center	1-800-Medicare (1-800-633-4227) TTY: (877) 486-2048 Visit the Medicare Web site at www.medicare.gov.	All questions related to the Medicare Program
Credit Balance Reporting	Standard Mailing Address Palmetto GBA Atten: Credit Balance Reporting P.O. Box 1606 Augusta, GA 30999-0001 Overnight Mailing Address Palmetto GBA Atten: Credit Balance Reporting 2743 Perimeter Parkway Building 200, Suite 400 Augusta, GA 30909 Reports may be faxed to (706) 855-3397. Credit Balance Helpline: (803) 763-6418 All e-mail inquiries may be sent to: Credit.Balance@PalmettoGBA.com	Questions or concerns regarding credit balance reports
Freedom of Information Act (FOIA) Requests	Palmetto GBA FOIA Coordinator Mail Code: AG-270 P.O. Box 100190 Columbia, SC 29202-3190 Requests may be faxed to (803) 935-0248. Visit Palmetto GBA's FOIA Web site.	FOIA requests
Program Safeguard Contractor (PSC)	Program Safeguard Contractor Home Health and Hospice Tricenturion, LLC Benefit Integrity Unit Mail Code: ZA-290 P.O. Box 100282 Columbia, SC 29202-3282 PCC: (866) 801-5301 Program Safeguard Contractor Home Health and Hospice (Florida Only) Benefit Integrity Unit 3450 Lakeside Drive, Suite 201 Miramar, FL 33027 PCC: (866) 801-5301 Safeguard Services: (954) 433-6000 Health Integrity, LLC: (972) 383-0000 www.healthintegrity.org	Fraud Abuse Questionable billing practices
Provider Outreach and Education (POE)	Palmetto GBA Part A Provider Outreach and Education Department Mail Code: AG-650 P.O. Box 100238 Columbia, SC 29202-3238 To schedule a speaker, call (866) 801-5301and select the asterisk key (*) from the main menu or download a copy of the Education Request Form (PDF, 811 KB) and fax it to (803) 935-0140.	Educational training requests Request a speaker for Association meetings in your state
Medical Review	Palmetto GBA Part A Medical Review Mail Code: AG-232 P.O. Box 100238 Columbia, SC 29202-3238	Responding to Additional Development Requests (ADRs) Responses to our requests for medical records
Medical Affairs	Palmetto GBA Part A Medical Affairs Mail Code: AG-300 P.O. Box 100238 Columbia, SC 29202-3238	Local Coverage Determinations (LCDs)

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How are we doing? Contact the Centers for Medicare & Medicaid Services (CMS) POE Coordinator in writing about Palmetto GBA's service. Their mailing address is:

POE Coordinator
Centers for Medicare & Medicaid Services (CMS) Region IV
61 Forsyth Street, S.W., Suite 4T20
Atlanta, GA 30303-8909

last updated on 07/17/2008

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