Find answers to frequently asked Medicare questions below. You can view additional FAQs for Hospice providers on the CMS website. For help with eServices, view our eServices FAQs.

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2021 Penalty for Delayed Request for Anticipated Payment (RAP) Submission for Home Health Agencies – Frequently Asked Questions (FAQ) 02/24/2021
2021 Penalty for Delayed Request for Anticipated Payment (RAP) Submission for Home Health Agencies - Frequently Asked Questions (FAQ) 02/24/2021
Hospice Beneficiary Election Statement Addendum Frequently Asked Questions (FAQ) 02/09/2021
Are providers required to submit medical records to the Medicare Administrative Contractor (MAC) for Recovery Audit Contractor (RAC) appeals? 01/27/2021
Are there any exceptions for unusual situations regarding the face-to-face requirement? 01/27/2021
As a hospice, are we required to fill out the Medicare Secondary Payer (MSP) questionnaire upon admission and then every 90 days? 01/27/2021
As the office manager/volunteer coordinator for a hospice, can I take a verbal order from a physician for a hospice referral? 01/27/2021
Can a home health agency (HHA) that provides therapy service and a nursing service on the same day only bill one G-code for that day? 01/27/2021
Can a Medicare patient receive home health and hospice at the same time? 01/27/2021
Can a provider remove an incorrect hospice revocation date from a discharge claim? 01/27/2021
Can Medicare Secondary Payer and Tertiary Payer claims be submitted electronically? 01/27/2021
Can the face-to-face documentation be included with the plan of care (POC) and certification documentation? 01/27/2021
Does our hospice agency need to submit the notice of election along with the request for additional documentation requests/records? 01/27/2021
Does Palmetto GBA send the provider any communication that states the payment amount due includes the accrued interest for Recovery Audit Contractors (RAC) appeals that have gone to the Quality Improvement Organization (QIO) after the decision? 01/27/2021
Does the Certifying Physician in the Home Health agency record need to be reported on the claim? 01/27/2021
Hospice FAQs 01/27/2021
How are medical record requests handled for the Recovery Audit Contractors (RAC) related appeals/redeterminations? 01/27/2021
How are visits counted for continuous home care (CHC)? 01/27/2021
How do I find out why a claim has been returned to the provider (RTP) for correction? 01/27/2021
How do I know if Medicare is primary or secondary? 01/27/2021
How do we handle billing when an HMO patient, who is receiving home health services from us, disenrolls from the HMO and is eligible for Medicare? 01/27/2021
How long should a home health agency retain billing records, and where can I find that information? 01/27/2021
I cannot seem to locate your hospice or home health training manuals on the Palmetto GBA website. Are they obsolete? 01/27/2021
I have a lot of claims in 'S' status with reason code 30928. Can someone explain why my claims are being held? 01/27/2021
I have a patient who has an open liability claim on the Common Working File (CWF), but we are seeing him for services not related to the auto accident. How should I file these claims with Medicare? 01/27/2021
I submitted an electronic adjustment to correct a medically denied line, why was the claim returned to the provider (RTP)? 01/27/2021
If a hospice fails to recertify the patient should the agency discharge the patient or use span code 77? 01/27/2021
If a Recovery Audit Contractor (RAC) retracts due to a discussion or internal error, how is Palmetto GBA notified? What are the internal processes and timeframes? 01/27/2021
Provider Contact Center (PCC) Frequently Asked Questions (FAQ): April 1, 2020 - June 30, 2020 01/27/2021
Provider Contact Center (PCC) Frequently Asked Questions (FAQ): January 1, 2020 - March 31, 2020 01/27/2021
Should our home health agency discharge a patient that elects a Medicare Advantage (MA) Plan (also known as a Medicare HMO)? 01/27/2021
Some of my patients have open insurance records that they say are not valid anymore. Can you close them so my claims will process? 01/27/2021
What claim adjustment reason codes will be attached to a N432 or N469 Remittance Advice (RA) remark code on the remit? 01/27/2021
What is a PTAN? 01/27/2021
What is the Recovery Audit Contractor (RAC) appeal/redetermination process? 01/27/2021
What value code is utilized by home health agencies to report the CBSA? 01/27/2021
When do home health claims qualify for the LUPA add-on payment? 01/27/2021
When should home health agencies use the new condition code D2 on their claims? 01/27/2021
Where can I find information regarding home health patients transitioning from and/or to HMOs? 01/27/2021
Which benefit, Medicare or Medicaid, is responsible for paying for the months of care provided to the beneficiary before the signed election statement was obtained? 01/27/2021
Who qualifies as a non-physician practitioner (NPP)? 01/27/2021
Who should a provider contact about status of refund due to a Recovery Audit Contractor (RAC) retraction letter? 01/27/2021
Who are the medical directors for Palmetto GBA? 01/21/2021
Provider Contact Center (PCC) Frequently Asked Questions (FAQ): October 1 - December 31, 2020 01/15/2021
After I receive a 277CA will I receive anything else? 12/15/2020
Can I share my DDE ID? 12/15/2020
How can I tell if I am set up for Electronic Billing? 12/15/2020
How do I reset my DDE password? 12/15/2020
How do I restore a remit file? 12/15/2020
If I have an existing DDE ID with another company, can I request a new ID? 12/15/2020
Is the 277CA returned for each test submission? 12/15/2020
Is the Submitter ID required on the DDE enrollment form? 12/15/2020
PC-ACE Pro32 software FAQs 12/15/2020
What information do I need to have available when calling for Electronic Data Interchange (EDI) assistance? 12/15/2020
What is a Network Service Vendor? 12/15/2020
What is an approved software vendor? 12/15/2020
What is the difference between a Submitter ID and a DDE ID? 12/15/2020
What provider address should I include on the EDI enrollment forms? 12/15/2020
What provider name should I include on the EDI enrollment forms? 12/15/2020
What PTAN should I enter on the EDI enrollment forms if the provider is a member of a group? 12/15/2020
What Submitter Name should I enter on the Provider Authorization form? 12/15/2020
When is a provider authorization form required? 12/15/2020
Where in the 277 CA file can we find the rejection message that provides the detailed rejection reason description? 12/15/2020
Will you reject claims with a P.O. Box in the billing provider address? Will you reject claims where the group number and policy number are the same values? 12/15/2020
Do you have a coding question? 12/01/2020
How do I find Comprehensive Error Rate Testing (CERT) information in the eServices portal? 12/01/2020
How do I make text larger to make it easier to read? 12/01/2020
What are the ordering and referring edits? 12/01/2020
What shall I do if I don't have an enrollment record in Medicare? 12/01/2020
Where can I find information about the new Medicare cards project? Open in New Window12/01/2020
Why do the links in my email listserv not work? 12/01/2020

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