RESOLVED: Physician Assistant Services

 Current Status
April 8, 2019: Resolved. Jurisdiction J adjustments have been completed.  

Issue Identified: February 28, 2019

Issue: CPT codes 36470 and 36471 are denying incorrectly when billed by specialty 97 (physician assistants). Affected claims are denying with claim adjustment reason code 170 (payment is denied when performed/billed by this type of provider) and reason and remark code N95 (this provider type/provider specialty may not bill this service). Claims affected include dates of service on or after 7/1/2018.

Provider Action: There is no provider action. System editing will be updated to correct this issue and Palmetto GBA will adjust affected claims. This claims payment issue will be updated when adjustments have been completed.

Status:
April 8, 2019: Resolved. Jurisdiction J adjustments have been completed. 

April 1, 2019: Adjustments have been completed for Jurisdiction M. Jurisdiction J adjustments have not been completed.

Contact Palmetto GBA JM Part B Medicare

Email Part B

Contact a specific JM Part B department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

MolDX

National Supplier Clearinghouse MAC

PDAC

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

Anonymous

 


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