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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How do I find Comprehensive Error Rate Testing (CERT) information in the eServices portal? 12/02/2019
How do I make the text larger to make it easier to read? 12/02/2019
How do I restore a remit file? 12/02/2019
Where can I locate a listing of the Medicare provider specialty codes? 11/06/2019
Provider Contact Center (PCC) Frequently Asked Questions (FAQs): July 2019 - September 2019 10/17/2019
Provider Contact Center (PCC) Frequently Asked Questions (FAQs): January 2019 - March 2019 10/09/2019
What is the Recovery Audit Contractor (RAC) appeal/redetermination process? 10/09/2019
What value code is utilized by home health agencies to report the CBSA? 10/09/2019
When do home health claims qualify for the LUPA add-on payment? 10/09/2019
When should home health agencies use the new condition code D2 on their claims? 10/09/2019
Where can I find information regarding home health patients transitioning from and/or to HMOs? 10/09/2019
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? 10/09/2019
Who qualifies as a non-physician practitioner (NPP)? 10/09/2019
Who should a provider contact about status of refund due to a Recovery Audit Contractor (RAC) retraction letter? 10/09/2019
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? 10/08/2019
Provider Contact Center (PCC) Frequently Asked Questions (FAQs): April 2019 - June 2019 10/08/2019
Provider Enrollment Application: Frequently Asked Questions 10/08/2019
Should our home health agency discharge a patient that elects a Medicare Advantage (MA) Plan (also known as a Medicare HMO)? 10/08/2019
Some of my patients have open insurance records that they say are not valid anymore. Can you close them so my claims will process? 10/08/2019
What claim adjustment reason codes will be attached to a N432 or N469 Remittance Advice (RA) remark code on the remit? 10/08/2019
Are providers required to submit medical records to the Medicare Administrative Contractor (MAC) for Recovery Audit Contractor (RAC) appeals? 10/02/2019
Are there any exceptions for unusual situations regarding the face-to-face requirement? 10/02/2019
As a hospice, are we required to fill out the Medicare Secondary Payer (MSP) questionnaire upon admission and then every 90 days? 10/02/2019
As the office manager/volunteer coordinator for a hospice, can I take a verbal order from a physician for a hospice referral? 10/02/2019
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? 10/02/2019
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