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Printed Date: 9/22/2015
Every year you have the opportunity to become a participating provider. The open enrollment period begins November 14, and ends on December 31, 2019. Please read the Announcement: About Medicare Participation for Calendar Year 2020 as it shares the importance and advantages of being a Medicare participating (PAR) provider.
A participating provider enters into an agreement to accept the Medicare-approved amount as full payment for services and supplies covered under Part B. A participating provider receives five percent more reimbursement than a non-participating provider.
The participation agreement will automatically renew each year. However, if there is a name or EIN (tax identification number) change, you will need to complete a new participation agreement.
If you have not signed a participation agreement, you are listed as non-participating and you are subject to the limiting charge fee schedule.
The participation agreement is completed as follows:
Submit a signed Medicare Participating Physician or Supplier Agreement (CMS-460) (PDF, 745 KB) to become a participating provider.
Send completed forms to:
Palmetto GBA – JJ Part B
Mail Code: AG-310
P.O. Box 100306
Columbia, SC 29202-3306
Please call Palmetto GBA at 877-567-7271 if you have any questions or need further information on participation.
The calendar year 2020 Medicare Physician Fee Schedule and Anesthesia Conversion Factors will soon be available on the Palmetto GBA website after the CY 2020 physician fee schedule regulation is put on display.
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Last Updated: 11/01/2020