FAQs

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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Are providers required to submit medical records to the Medicare Administrative Contractor (MAC) for Recovery Audit Contractor (RAC) appeals? 01/21/2020
As a hospice, are we required to fill out the Medicare Secondary Payer (MSP) questionnaire upon admission and then every 90 days? 01/21/2020
As the office manager/volunteer coordinator for a hospice, can I take a verbal order from a physician for a hospice referral? 01/21/2020
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? 01/21/2020
Can a provider remove an incorrect hospice revocation date from a discharge claim? 01/21/2020
Can a therapy assistant provide maintenance therapy visits? 01/21/2020
Can Medicare Secondary Payer and Tertiary Payer claims be submitted electronically? 01/21/2020
Can the face-to-face documentation be included with the plan of care (POC) and certification documentation? 01/21/2020
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? 01/21/2020
Should our home health agency discharge a patient that elects a Medicare Advantage (MA) Plan (also known as a Medicare HMO)? 01/21/2020
Some of my patients have open insurance records that they say are not valid anymore. Can you close them so my claims will process? 01/21/2020
What claim adjustment reason codes will be attached to a N432 or N469 Remittance Advice (RA) remark code on the remit? 01/21/2020
What is the Recovery Audit Contractor (RAC) appeal/redetermination process? 01/21/2020
What value code is utilized by home health agencies to report the CBSA? 01/21/2020
When do home health claims qualify for the LUPA add-on payment? 01/21/2020
When should home health agencies use the new condition code D2 on their claims? 01/21/2020
Where can I find information regarding home health patients transitioning from and/or to HMOs? 01/21/2020
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? 01/21/2020
Who qualifies as a non-physician practitioner (NPP)? 01/21/2020
Who should a provider contact about status of refund due to a Recovery Audit Contractor (RAC) retraction letter? 01/21/2020
Provider Contact Center (PCC) Frequently Asked Questions (FAQs): April 2019 - June 2019 01/17/2020
Provider Contact Center (PCC) Frequently Asked Questions (FAQs): January 2019 - March 2019 01/17/2020
Provider Contact Center (PCC) Frequently Asked Questions (FAQs): October 1 - December 31, 2019 01/08/2020
After I receive a 277CA will I receive anything else? 12/18/2019
Can I share my DDE ID? 12/18/2019
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