You Do Make a Difference

Palmetto GBA intends to demonstrate its commitment to our partnership by sharing with you the process improvements we implement based on your feedback. We value your comments and opinions, and have provided a number of ways for you to reach out to us. In addition to the direct feedback we regularly receive from our providers, we will be conducting quarterly focus groups, Ask-the-Contractor Teleconferences (ACTs) and Provider Outreach and Education Advisory Groups (POE-AGs) in order to uncover areas that are ripe for improvement. By working together we can enhance your experience and elevate the level of service, education, information and transparency you have come to expect from Palmetto GBA.

We value your feedback and your suggestions and we look forward to a culture of continual improvement in the way we conduct business and serve our providers. Because you have taken the time to provide feedback, Palmetto GBA has taken action to implement the following enhancements:

  • eServices Profile Verification has been extended from 90 to 250 days, allowing more time for you to complete this process. During this time, please make sure that all eServices user ID profiles are up to date to avoid interruption or deactivation.
  • eRCD is a new feature on the Provider Dashboard within eServices that provides you with the ability to monitor your Review Choice Demonstration (RCD) results. You will enjoy features such as your RCD affirmation or claim approval rate, and current Additional Documentation Request (ADR) and Pre-Claim Review (PCR) decisions. Your RCD cycle results will be displayed. The information is updated weekly and is not final. If you need more information about the results that have been displayed, please select the View Details link. This link will provide you with information such as the National Provider Identifier (NPI), Document Control Number (DCN), Billing Start and End Date, and the Review Decision.
  • We added a Check Eligibility button to the MBI Lookup tab in eServices in order to save you time when checking a beneficiary’s Medicare eligibility. With the MBI Lookup tab open, you will find the Check Eligibility button at the bottom of your screen.
  • Palmetto GBA continues to develop tools to improve service and efficiency, and our new eTicket is no exception. eTicket will save you time when contacting the Provider Contact Center (PCC) about a particular issue on multiple occasions. When you speak to a customer care representative by phone, a numeric inquiry number or eTicket is generated which provides a reference to the subject matter of your conversation with our PCC. When you call us with additional follow-up questions or for more information specific to a prior call, you can input your eTicket number into the IVR. Upon being transferred to a service representative, your topic of inquiry and data related to your previous call with Palmetto GBA will automatically be presented on the service representative’s screen, expediting their ability to serve you.
  • In response to provider feedback, we have updated the LCDs and Related Articles tables to designate which contract (Part A, Part B, Home Health or Hospice) they apply to.
  • We have extended the time that a Multi-Factor Authentication (MFA) code can be used. Providers are now able to use their MFA codes for up to 12 hours. This allows providers to simply reuse the last valid code issued. An MFA code will expire 12 hours from the time it was requested or when a new MFA code is generated.
  • ePass: Authentication is required before Palmetto GBA is authorized to discuss Medicare information with a provider. The ePass is an 8-digit code providers can elect to receive, per each NPI and PTAN combination, following their first-time authentication when they call the Provider Contact Center (PCC). The goal of the ePass is to ease provider burden by eliminating the need to repeatedly authenticate each time you contact the PCC in a given day.
  • To improve your customer service experience when calling our contact center:
    • Added the ability to select to go straight to a Customer Service Advocate (CSA) in the main menu
    • Minimized the number of up front messages played
    • Allowed CSAs to handle multiple inquiries per call
    • Reviewing top inquiry data and identifying providers to proactively schedule concierge appointments
  • Providers are able to give immediate feedback on their customer service experience with Palmetto GBA through our Provider Experience survey
  • Providers are now mailed credit balance report reminder letters in order to reduce the number placed on payment withhold for failure to submit
  • Providers can now easily access their remits straight from the eServices claim status screen
  • For your convenience, all Home Health & Hospice providers enrolled in eServices will automatically receive their Additional Documentation Request (ADR) letters by eDelivery. For a short period of time you will still continue to receive both the mailed hardcopy ADR and the eDelivery electronic ADR in eServices. We will notify you when the hardcopy mailings will be discontinued.
  • Multiple educational modules and tools were added in 2018:

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