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.

If You Contacted Us Recently, We Would Love to Hear About Your Experience

We have developed a Provider Experience Survey for you to take to give us feedback on your customer service interactions with Palmetto GBA. This survey can be taken to give us feedback on contact made via:
• Chat
• Telephone
• Email
• Mail
• Social Media - Facebook, Twitter or LinkedIn

We value your feedback and hope you will take a moment to complete out short, seven question survey.

 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 
Contact Center (Provider) 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
  • 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

    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
    Customer Service Center (Beneficiary) 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
    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 
    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
    CostReport.Appeals@PalmettoGBA.com

    Filing of Cost Report Reopenings
    CostReport.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 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: (803) 382-6104

    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
    Southeastern Unified Program Integrity Contractor (SE UPIC)

    Safeguard Services (SGS)-A CMS Unified Program Integrity Contractor
    3450 Lakeside Drive, Suite 201
    Miramar, FL 33027

    Phone Number: (954) 988-2851

    Website: www.safeguard-servicesllc.com

    • Fraud
    • Abuse
    • Questionable billing practices

    Still have questions?

    • You can find direct answers to your technical questions by visiting our Site Help page
    • Need to contact another Medicare department on this site? Go to our Site Contact page.
    • For help with technical problems using your computer on this website, email Palmetto GBA's Technical Assistance 

    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

    Website Feedback
    Do you have website feedback? Contact our Webmaster.

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