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Jurisdiction 11 Part A
FAQs


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How is a Federally Qualified Health Center (FQHC) supposed to bill for Part A core preventive services and how they are reimbursed?05/06/2013
If a Federally Qualified Health Center (FQHC) bills a core visit, is the payment for the drug included in their core service reimbursement? If they don’t bill a core visit and the patient only comes in for an injection, do they submit the drug to Part A or Part B?05/06/2013
We have a clinical pharmacist onsite that wants to talk to patients about their medications. Can the FQHC bill this service under Medicare Part A as a core visit?05/06/2013
Who is the medical director for J11?04/17/2013
A patient has utilized 150 days of the Part A inpatient benefit and has also utilized 100 days of the skilled nursing facility (SNF) benefit of that benefit period. What does this mean?04/16/2013
A PIP hospital provider received a demand letter requesting payment on a RAC DRG change that resulted in an overpayment. If the provider issues a check to Palmetto GBA and the claim is also adjusted in the FISS system, will we not be repaying the amount twice, both in the check issued and then upon cost report settlement?04/16/2013
Are cardiac rehabilitation programs covered by Medicare?04/16/2013
Are hospital labs that file institutional claims exempt from the MolDx Program requirements?04/16/2013
Are skilled nursing facilities required to bill Medicare for patients who have exhausted their Part A benefit?04/16/2013
Can a provider bill a skilled nursing facility (SNF) or swing bed (SB) claim if the patient does not have a qualifying hospital stay?04/16/2013
Can a provider request Healthcare Common Procedure Coding System (HCPCS) coding assistance from Palmetto GBA?04/16/2013
Can an acute care prospective payment system hospital bill two inpatient claims if a patient is discharged and then readmitted to the same hospital on the same day, but for a different diagnosis?04/16/2013
Do hospitals receive a special add-on payment for blood clotting factors furnished to inpatients?04/16/2013
Do rural health clinics and federally qualified health centers bill the Part A for influenza and PPV vaccinations?04/16/2013
Does Medicare issue a letter indicating a patient's benefits are exhausted?04/16/2013
FAQs on How to Use Event Registration Portal04/16/2013
FAQs: Additional Medical Review Projects and CERT04/16/2013
How do I enter three modifiers in Direct Data Entry (DDE)? There is no room to report the third modifier on Page 2 when keying a claim on DDE.04/16/2013
How do I make the text larger to make it easier to read?04/16/2013
How do I sign up for Direct Data Entry?04/16/2013
How long does a provider have to submit medical records to the Comprehensive Error Rate Testing (CERT) Contractor for review?04/16/2013
I am aware that source of admission code 7 is no longer valid. What code replaces it?04/16/2013
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last updated on 5/01/2013
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