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Published Date: 1/20/2015

Printed Date: 9/22/2015

URL: http://palmgba.com/marlowe/redesign6/article.html

JM Part A

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Palmetto GBA welcomes your comments and questions. You can get in touch with us in writing, by telephone or via email. Palmetto GBA is the fiscal intermediary for Part A Medicare Administrative Contractor.

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
Appeals	Palmetto GBA Part A Appeals Mail Code: AG-630 P.O. Box 100238 Columbia, SC 29202-3238 Fax: (803) 699-2425 For Fed Ex/UPS/Certified Mail Palmetto GBA Part A Appeals Mail Code: AG-630 Building One 2300 Springdale Drive Camden, SC 29020	Request for Redeterminations Redetermination Form
Beneficiary Customer Service Center	1-800-Medicare (1-800-633-4227) TTY: 877-486-2048 Visit the Medicare website at www.medicare.gov	All questions related to the Medicare program
Checks For Overpayments	Palmetto GBA Medicare Part A Overpayments Mail Code: AG-340 P.O. Box 100277 Columbia, SC 29202-3277 Provider Inquiries: For inquiries regarding overpayments, please call the Provider Contact Center at 855-696-0705. Fax Numbers: To send any financial correspondence to the overpayment department by fax, please fax this information to (803) 419-3275. To request an immediate offset, fax your request to (803) 462-2574.	Overpayments Checks for cost report and credit balances
Cost Report	Cost Report Filing Electronic Filing https://mcref.cms.gov Mailing Address Palmetto GBA Attn: Cost Report Acceptance Mail Code: AG-330 P.O. Box 100144 Columbia, SC 29202-3144 Fed Ex/UPS/Certified Mail Address Palmetto GBA Attn: Cost Report Acceptance Mail Code: AG-330 2300 Springdale Drive Building One Camden, SC 29020-1728 Cost Report Overpayment Address (checks only) Palmetto GBA Medicare Finance Mail Code: AG-260 P.O. Box 100277 Columbia, SC 29202-3277	Cost Reports Checks
Credit Balance Reporting	Regular and Certified Mail Palmetto GBA Attn: Credit Balance Reporting Mail Code: AG-340 P.O. Box 100109 Columbia, SC 29202-3109 Fed Ex/UPS/Overnight Courier Palmetto GBA Attn: Credit Balance Reporting Mail Code: AG-340 2300 Springdale Drive Building One Camden, SC 29020-1728 Credit Balance Overpayment Address (checks only): Palmetto GBA Medicare Finance Mail Code: AG-260 P.O.Box 100277 Columbia, SC 29202-3277 Reports may be faxed to: MCBR Receipts Attn: Credit Balance Reporting (803) 419-3277 If you have questions about your Credit Balance Report, please call the Provider Contact Center at: 855-696-0705.	Questions or concerns regarding credit balance reports
Electronic Data Interchange (EDI) for NC and SC	Email: Medicare.EDI@palmettogba.com Provider Contact Center: 855-696-0705	EDI enrollment Administrative Simplification and Compliance Act (ASCA) Electronic Remittance Advice (ERA) PC-ACE Pro 32 (billing software) Direct Data Entry (billing software) Other EDI-related issues
	DDE Hours of Availability	Monday to Friday 6 am - 8 pm ET Saturday 6 am - 4 pm ET Sunday: Not Available
Electronic Data Interchange (EDI) for VA and WV	NGS EDI Help Desk: 855-696-0705	EDI enrollment Electronic Remittance Advice (ERA) PC-ACE Pro 32 (billing software) Direct Data Entry (billing software) Other EDI-related issues
eServices	Provider Contact Center: 855-696-0705 Our PCC Representatives are ready to answer your questions about billing problems and other issues. Please see the following links for more guidance about the Part A Interactive Voice Response (IVR) and contacting the Call Center. IVR Flowchart (PDF, 74 KB) Call Flowchart (PDF, 95 KB) IVR Conversion Tool Part A PCC Hours: 8 a.m. to 4:30 p.m. ET Email Email Part A to have your inquiry answered. Please do not include any Protected Health Information.	Eligibility Claims Status Remittances Online Financial Information (payment floor, last three checks paid, eOffset requests, and eCheck payments) Appeals Medical Review ADR Response Form General Written Inquiry Request Form CMS-838 Credit Balance Report Submission Cost Report Form
Financial correspondence with/without checks	Palmetto GBA PO Box 100277 Columbia, SC 29202
Freedom of Information Act (FOIA) Requests	Palmetto GBA – Part A FOIA Coordinator Mail Code: AG-840 P.O. Box 100190 Columbia, SC 29202-3190 Email: FOIA@PalmettoGBA.com	FOIA requests
Medical Affairs	Palmetto GBA Medical Affairs Mail Code: AG-275 P.O. Box 100238 Columbia, SC 29202-3238 Send emails to A.Policy@palmettogba.com.	Local coverage determinations (LCDs)
Medical Review	Palmetto GBA Part A Medical Review Mail Code: AG-230 P.O. Box 100238 Columbia, SC 29202-3238 Please call the Provider Contact Center (PCC) at 855-696-0705 for Medical Review questions. Fed Ex/UPS/Overnight Courier Palmetto GBA Mail Code: AG-230 2300 Springdale Drive, Building One Camden, SC 29020 Fax: (803) 699-2436	Responding to Additional Documentation Requests (ADRs) Responses to our requests for medical records
Medicare Secondary Payer (MSP)	For questions/concerns related to MSP records, contact the Benefits Coordination & Recovery Center (BCRC) at: 855-798-2627 (TTY/TDD at 855-797-2627 for the hearing and speech impaired). Customer Service Representatives are available to provide you with quality service Monday through Friday from 8 a.m. to 8 p.m. ET, except holidays. Mailing addresses are available on the CMS website.	MSP questions Questions regarding beneficiary's primary or secondary records
Provider Audit	Palmetto GBA Provider Audit Mail Code: AG-320 P.O. Box 100144 Columbia, SC 29202-3144 Palmetto GBA Cost Report Appeals and Reopenings Mail Code: AG-380 P.O. Box 100144 Columbia, SC 29202-3144 Email: Filing of Cost Report Appeals JMAudit.Appeals@PalmettoGBA.com Filing of Cost Report Reopenings JMAudit.Reopening@PalmettoGBA.com	Issues related to cost reports, desk reviews, audits and settlements Issues related to the filing of cost report appeals and reopenings
Provider Contact Center	Palmetto GBA Part A PCC Mail Code: AG-840 P.O. Box 100238 Columbia, SC 29202-3238 Provider Contact Center: 855-696-0705 Our PCC Representatives are ready to answer your questions about billing problems and other issues. Please see the following links for more guidance about the Part A Interactive Voice Response (IVR) and contacting the Call Center. IVR Flowchart (PDF, 74 KB) Call Flowchart (PDF, 95 KB) IVR Conversion Tool Part A PCC Hours: 8 a.m. to 4:30 p.m. ET Email Email Part A 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 Written Inquiries eServices
Provider Enrollment	Palmetto GBA Part A Provider Enrollment Mail Code: AG-331 P.O. Box 100144 Columbia, SC 29202-3144 For inquiries regarding provider enrollment, please call the PCC at 855-696-0705.	Enrollment (credentialing) questions Request CMS-855 B, I or R forms Change address, add a location or 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
Provider Outreach and Education (POE)	Palmetto GBA Part A POE Mail Code: AG-830 P.O. Box 100238 Columbia, SC 29202-3238 For education, please complete the Education Request Form. To access this document, go to the Forms Web page at www.PalmettoGBA.com/jma/forms	Educational training requests Request a speaker for association meetings in your state
Provider Reimbursement	Palmetto GBA Provider Reimbursement Mail Code: AG-330 P.O. Box 100144 Columbia, SC 29202-3144 Phone Number: (855) 696-0705. Fax updated certificates for diabetes education, mammography and PET scan to the reimbursement department at (803) 935-0262.	Submission of interim rate information Reimbursement issues Reimbursement specialist Submission of certificates

Are you seeking Review Contractor information?

This interactive map will show you the name and contact information for all review contractors by your state. This includes Unified Program Integrity Contractors (UPICs), Comprehensive Error Rate Testing (CERT) Contractor, Supplemental Medical Review Contractor (SMRC), Medicare Administrative Contractors (MACs) and Recovery Audit Contractors (RACs).

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Feedback to the Centers for Medicare & Medicaid Services (CMS)
If you would like to send any feedback to CMS regarding your experiences with Palmetto GBA, please direct your comments to:

POE Coordinator
CMS Division of Financial Management & Fee-for-Services Operations
61 Forsyth Street, S.W., Suite 4T20
Atlanta, GA 30303-8909
Email: ROATLFM@CMS.HHS.GOV

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