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What beneficiary identification information do I need when I call Customer Service? 04/21/2017
What provider identification information do I need when I call Customer Service? 04/21/2017
How can I check the status of my PTAN request? 04/20/2017
I'm trying to fax a 'Request for Railroad Medicare PTAN for Electronic Submitters' form to (803) 382-2417. Why isn't the fax number in service? 04/20/2017
I submitted a PTAN Request form before the new PTAN Lookup and Request Tool was implemented. Will my form be processed? 04/20/2017
I submitted a PTAN Request form less 30 days before the new PTAN Lookup and Request Tool was implemented. Do I also need to submit a request through the tool? 04/20/2017
Why can I no longer find the 'Request for Railroad Medicare PTAN for Electronic Submitters' form? 04/20/2017
What causes a claim to be Unprocessable/Rejected? 04/19/2017
Are Your Medicare Secondary Payer (MSP) Claims Rejecting? 04/17/2017
Do I need to notify Railroad Medicare that a provider's address has changed? I have already notified our local Medicare Administrative Contractor (MAC). 04/17/2017
How do I report a provider address change? 04/17/2017
How long will it take Railroad Medicare to issue a PTAN? 04/17/2017
What is the Social Security Number Removal Initiative (SSNRI)? Open in New Window04/17/2017
How Do I Find a Form? 04/03/2017
How do I register for listservs? 04/03/2017
CERT Frequently Asked Questions 03/31/2017
How often are CARCs and RARCs updated? 03/31/2017
If a service is denied for correct coding and correct coding modifier is allowed, should the modifier always be added to the denied charge? 03/31/2017
Postpayment Review Documentation Requests FAQs 03/31/2017
What are National Correct Coding Initiative (NCCI) Procedure to Procedure edits? 03/31/2017
When billing both codes in a CCI PTP pair, how can I determine which code can billed with an NCCI modifier? 03/31/2017
When do I use the 26 CPT modifier? 03/31/2017
Where can I find a list of HCPCS/CPT codes that are subject to NCCI PTP code pair edits? 03/31/2017
Where can I find instructions for using the NCCI PTP code pair tables? 03/31/2017
How can I determine if an MUE value applies to the date of service or the line of service? 03/30/2017
What is the difference between MUE date of service edit indicators MAI 2 and MAI 3? 03/30/2017
Why was my bilateral procedure denied for MUE? I billed separate lines for the right and left sides. 03/30/2017
How would I know if a patient is a Qualified Medicare Beneficiary (QMB)? 03/27/2017
What is the Qualified Medicare Beneficiary (QMB) program? 03/27/2017
Why do I need to know whether a patient is a Qualified Medicare Beneficiary (QMB)? 03/27/2017
I submitted an assigned claim. Why was the payment sent to the patient? 03/17/2017
After I receive a 277CA will I receive anything else? 03/16/2017
Are there MSP examples available to view? 03/16/2017
For physical therapy claims where the service is performed in the patient's home (PS=12), does there need to be a 2310C loop with the patient's home address? If so, does is it need a 9-digit zip code? 03/16/2017
How can I check on the status of my Railroad EDI Enrollment Form? 03/16/2017
How can I tell if I am set up for Electronic Billing? 03/16/2017
How do we distinguish test from production submissions? 03/16/2017
If we pass testing as a submitter, will we be able to submit claims for all our providers without them testing as well? 03/16/2017
Is the 277CA returned for each test submission? 03/16/2017
Once I enroll for electronic billing, do I automatically receive electronic remits? 03/16/2017
PC-ACE Pro32 software FAQs 03/16/2017
What if we do not receive the 999 and 277CA consistently? 03/16/2017
What information do I need to have available when calling for Electronic Data Interchange (EDI) assistance? 03/16/2017
What is a Network Service Vendor? 03/16/2017
What is an approved software vendor? 03/16/2017
What is my Submitter ID? 03/16/2017
What is the most current version (date) of the 837 implementation guides? 03/16/2017
Where can I find information on the connectivity changes to the front end system? 03/16/2017
Where can I locate the payer ID for Railroad Medicare? 03/16/2017
Where in the 277 CA file can we find the rejection message that provides the detailed rejection reason description? 03/16/2017
Will one test file allow me to move to PROD? And does the file require 25 claims? 03/16/2017
Will you reject claims with a P.O. Box in the billing provider address? Will you reject claims where the group number and policy number are the same values? 03/16/2017
Am I required to bill with HCPCS modifer JW when reporting waste from a single use drug vial? 03/08/2017
Appeals: What happens to an incomplete redetermination request? 03/08/2017
Are chiropractors required to submit therapy codes with both the GP and the GY HCPCS modifiers? 03/08/2017
Are observation codes submitted by the hour or by the calendar date? 03/08/2017
Are we required to complete the ICD Indicator field in Item 21 of the CMS-1500 (02/12) claim form? 03/08/2017
Are we required to submit a claim to Palmetto GBA for maintenance therapy? 03/08/2017
Are we required to submit our Medicare Secondary Payer (MSP) claims electronically? 03/08/2017
As a rendering physician, how should I report my NPI on a claim? Do I submit differently if I am a member of a group? 03/08/2017
By the time you received my refund, you had already offset my claim. Why wasn't my refund returned to me? 03/08/2017
Can a chiropractor use a manual device to assist with manipulation? 03/08/2017
Can a nurse practitioner perform the initial hospital visit? 03/08/2017
Can a provider request immediate offset for voluntary refunds or for solicited overpayments prior to the 40-day interval? 03/08/2017
Can a provider submit a hospital inpatient or office/outpatient evaluation on the same calendar date as a critical service? 03/08/2017
Can a service with the GY HCPCS modifier be appealed? 03/08/2017
Can a single visit be counted as both the IPPE and an AWV? 03/08/2017
Can an ABN (Advance Beneficiary Notice of Noncoverage) be issued for HCPCS code A0427-ALS 1/Emergency Transports? 03/08/2017
Can an evaluation and management (E/M) service be performed as a split/shared service? 03/08/2017
Can ancillary staff that provides a service 'incident to' a physician or non-physician practitioner sign the documentation? 03/08/2017
Can HCPCS modifier JW be billed for the discarded amount of a drug from a multi-use vial? 03/08/2017
Can I bill for drug wastage from a multi-dose/multiuse vial or package of drug or biological? 03/08/2017
Can I bill Railroad Medicare for administering a Part D vaccine? 03/08/2017
Can I bill you for sending requested documentation for a prepayment or postpayment review? 03/08/2017
Can I call the Reopening line to change the total number of post-operative days I billed? 03/08/2017
Can I call the Telephone Reopening Line to correct a rejected claim? 03/08/2017
Can I print and photocopy a blank 'Request for Railroad Medicare PTAN for Electronic Submitters' form? 03/08/2017
Can I print or view remittances online? 03/08/2017
Can I submit a claim with both ICD-9-CM and ICD-10-CM codes? 03/08/2017
Can I submit a subsequent hospital visit if my documentation does not support one of the three levels of an initial hospital visit? 03/08/2017
Can I submit a subsequent nursing facility CPT code if my documentation does not support one of the three levels of initial nursing facility services? 03/08/2017
Can I use an ABN (Advance Beneficiary Notice of Noncoverage) for chiropractic services? 03/08/2017
Can I use the KX HCPCS modifier when filing claims to Railroad Medicare for charges that exceed the therapy cap? 03/08/2017
Can incident to occur in place of service (POS) 19 or 22 (outpatient hospital)? 03/08/2017
Can My Billing Agency or Clearinghouse Request My PTAN from Railroad Medicare? 03/08/2017
Can My Billing Agency or Clearinghouse Update My Provider Enrollment Record with Railroad Medicare? 03/08/2017
Can other medical services be performed at the same time as an AWV? If so, how are they coded? 03/08/2017
Can Railroad Medicare beneficiaries have coverage through a Medicare Advantage plan? 03/08/2017
Can the modifier that indicates 'increased procedural services' be submitted with an E/M service when a physician spends an extended amount of time with a patient? 03/08/2017
Can time alone be used to select an E/M code? 03/08/2017
Can time be used as a basis for E/M code selection in regards to add-on psychotherapy services? 03/08/2017
Can we bill a patient for a service that denied due to MUE? Should we issue an Advance Beneficiary Notice (ABN) to the patient in this case? 03/08/2017
Can we combine two different problems/diagnoses to obtain the HPI or can we only use one problem? 03/08/2017
Can we utilize the 'status of three or more chronic/inactive conditions' as an extended History of Present Illness (HPI) for the 1995 guidelines? 03/08/2017
CMS ICD-10-CM/PCS Frequently Asked Questions Open in New Window03/08/2017
Do I need to notify Railroad Medicare that a provider has left our group? 03/08/2017
Do I need to notify Railroad Medicare that a provider has retired? 03/08/2017
Do I need to obtain preapproval or precertification before I provide a Part B service to a Railroad Medicare patient? 03/08/2017
Do subsequent chiropractic visits need new treatment plans? 03/08/2017
Do you have a coding question? 03/08/2017
Do you have my NPI Number? 03/08/2017
Do you have questions about portal verification films? 03/08/2017
Does a beneficiary need to sign an Advance Beneficiary of Noncoverage (ABN) for every visit? 03/08/2017
Does an order for a diagnostic test have to be delivered in writing? 03/08/2017
Does it matter what position modifiers are submitted on an anesthesia claim? 03/08/2017
Does it matter what position pricing modifiers are submitted on a claim? 03/08/2017
Does Medicare allow providers to bill a patient for a missed appointment? 03/08/2017
Does Medicare reimburse for ambulance transportation to and from a physician's office? 03/08/2017
Does Railroad Medicare cover shingles vaccines? 03/08/2017
Does Railroad Medicare cover TDAP shots? 03/08/2017
Does Railroad Medicare cover tetanus shots? 03/08/2017
Does Railroad Medicare have Local Coverage Determinations (LCDs)? 03/08/2017
Does time need to be documented in order to submit for a hospital or nursing facility discharge service? 03/08/2017
Generally speaking, when we say 'objective measures,' what does that mean? 03/08/2017
Generally speaking, when we say a 'treatment plan with specific goals', what does that mean? 03/08/2017
How can I check the status of my Appeal request submitted through eServices? 03/08/2017
How can I get a duplicate remittance notice? 03/08/2017
How can I tell if a remittance was paid by paper check or by electronic funds transfer (EFT)? 03/08/2017
How do I address Chiropractic treatment goals if I see the patient once and no further treatment is necessary? 03/08/2017
How do I bill chiropractic manipulative treatment correctly? 03/08/2017
How do I indicate the ICD-CM diagnosis type billed on my claim? 03/08/2017
How do I make the text larger to make it easier to read? 03/08/2017
How do I obtain my Continuing Education Unit (CEU) credit from a Palmetto GBA training session I attended? 03/08/2017
How do I request immediate offset on an established overpayment due to Railroad Medicare? 03/08/2017
How do I submit an Appeal online? 03/08/2017
How do I update my provider information on an existing Railroad Medicare provider number? 03/08/2017
How do I upload attachments to an Appeal request? 03/08/2017
How do I verify the effective date of my electronic fund transfer (EFT)? 03/08/2017
How do you determine if an ambulance transport is considered emergent? 03/08/2017
How does a chiropractor submit a claim for an office visit and X-rays to Medicare for the denial of statutorily excluded services for the patient's secondary insurance company? 03/08/2017
How does Palmetto GBA decide when to request documentation, for what and from whom? 03/08/2017
How many units of services should I submit when I am billing a bilateral surgical procedure with CPT modifier 50? 03/08/2017
How should I list the name of the ordering/referring provider when submitting my paper and electronic claims? 03/08/2017
How should time spent with the patient and/or family member doing psychotherapy be documented? 03/08/2017
How should we calculate the time for time-based psychotherapy services for the purposes of submitting claims? 03/08/2017
How would I know a Railroad patient is enrolled in a Medicare Advantage plan when they presented their Railroad Medicare Card? 03/08/2017
I've received a demand letter regarding an overpayment for a post pay review, or some other adjustment, in which it was determined that I have been overpaid and a refund is due to Medicare, if I appeal, do I also need to refund the money? 03/08/2017
I am a hospitalist and all records for my services are part of the patient's hospital record. Why do Medicare contractors send me the request for medical records and not the hospital? 03/08/2017
I am submitting an appeal request through eServices. Can I attach an appointment of representative form with my supporting documentation? 03/08/2017
I billed for a chemotherapy drug with HCPCS code J9999 and it denied. Why? 03/08/2017
I billed multiple patients on one ambulance trip with HCPCS modifier GM, why are my claims still being denied? 03/08/2017
I have a Railroad Medicare PTAN but need to update my record. How do I update with Railroad Medicare? 03/08/2017
I have primary payment for a consultation service. My software does not allow me to change the procedure code to an E/M code that Medicare will accept. Since Medicare no longer accepts consultation codes, can I bill the patient the co-pay from the primary insurance and not submit a claim to Medicare? 03/08/2017
I have received a payment marked PQRS (Physicians Quality Reporting System) from Railroad Medicare, but my remittance shows a negative dollar amount. Is this a recoupment or withholding? 03/08/2017
I need to refund an overpayment to Railroad Medicare. What documentation should I include with my check? 03/08/2017
I noticed a 'multiple procedure' modifier on my remittance advice but I did not submit it. The service was allowed, but should I have included this modifier on my claim? 03/08/2017
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