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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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
How can I tell if I am set up for Electronic Billing? 12/18/2019
How do I reset my DDE password? 12/18/2019
How do I restore a remit file? 12/18/2019
If I have an existing DDE ID with another company, can I request a new ID? 12/18/2019
Is the 277CA returned for each test submission? 12/18/2019
Is the Submitter ID required on the DDE enrollment form? 12/18/2019
PC-ACE Pro32 software FAQs 12/18/2019
What information do I need to have available when calling for Electronic Data Interchange (EDI) assistance? 12/18/2019
What is a Network Service Vendor? 12/18/2019
What is an approved software vendor? 12/18/2019
What is the difference between a Submitter ID and a DDE ID? 12/18/2019
What provider address should I include on the EDI enrollment forms? 12/18/2019
What provider name should I include on the EDI enrollment forms? 12/18/2019
What PTAN should I enter on the EDI enrollment forms if the provider is a member of a group? 12/18/2019
What Submitter Name should I enter on the Provider Authorization form? 12/18/2019
When is a provider authorization form required? 12/18/2019
Where in the 277 CA file can we find the rejection message that provides the detailed rejection reason description? 12/18/2019
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? 12/18/2019
Do you have a coding question? 12/02/2019
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
What are the ordering and referring edits? 12/02/2019
What shall I do if I don't have an enrollment record in Medicare? 12/02/2019
Where can I find information about the New Medicare Cards project? Open in New Window12/02/2019
Who are the medical directors for Palmetto GBA? 12/02/2019
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
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
Can a Medicare patient receive home health and hospice at the same time? 10/02/2019
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