Claims Processing Issues Log

Here is a list of current system-related claims payment and processing issues. These issues have been reported to the Centers for Medicare & Medicaid Services (CMS) and/or the Multi-Carrier System (MCS). Please check often for updates before contacting the provider contact center. The issues are identified by stand alone articles and will be updated as needed.

Please Select a Topic:

Article Update Notifications

Would you like to receive a notification when one of the CPIL articles is updated? At the bottom of each article, sign up in the new Article Update Notification box, and we'll send you an email with the new article any time it changes.

Note: You can only sign up for notifications on a per-article basis; if you would like notifications for more than one, please sign up for each article individually.

Latest Articles

      

RESOLVED: Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edit for Certain Radiation Therapy Codes 06/11/2018
Routine Foot Care Frequency Denials 06/07/2018
Adjustments to Qualified Medicare Beneficiary (QMB) Claims Processed Under CR 9911 06/06/2018
RESOLVED: Positron Emission Tomography (PET) (Sodium Fluoride-18) (NaF-18) to Identify Bone Metastasis of Cancer in the Context of a Clinical Trial-National Non-Coverage 06/05/2018
Bipartisan Budget Act of 2018 06/04/2018
LCD 33454, Varicose Veins of the Lower Extremities 05/30/2018
Incorrect Denials Indicating Skilled Nursing Facility (SNF) Consolidated Billing (Includes Ambulance Services) 05/29/2018
RESOLVED: Diagnostic Mammograms and Percutaneous Image-Guided Breast Biopsy 05/22/2018
RESOLVED: Speech Language Pathologist Service Denials 05/22/2018
Incorrect Denials for CT of the Head LCD L34417 05/17/2018
RESOLVED: Cosmetic and Reconstructive Surgery Local Coverage Determination L33428 05/10/2018
RESOLVED 2018 Therapy Claims 04/25/2018
RESOLVED: GlycoMark Testing for Glycemic Control Test Paid Incorrectly 04/18/2018
National Provider Identifier (NPI) Crosswalk 04/10/2018
RESOLVED: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers 04/05/2018
RESOLVED: Revised Partial January 2018 Ambulatory Surgical Center (ASC) Payment Rates 03/23/2018
RESOLVED: Erroneous Additional Documentation Requests (ADRs) for Certain Ambulance Services 02/07/2018
RESOLVED: Incorrect Rejections for Abdominal Aortic Aneurysm (AAA) Ultrasound 02/07/2018
RESOLVED: Claims Rejections for HCPCS Modifier FY: Computed Radiography Services Furnished 01/31/2018
RESOLVED: System Generated Letters 01/24/2018
   

Contact Palmetto GBA JM Part B Medicare

Email Part B

Contact a specific JM Part B department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

MolDX

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

National Supplier Clearinghouse MAC

Anonymous

 


spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer spacer