Palmetto, GBA Updates FAQs & Posts New Payer Numbers

on Tuesday, 05 December 2017. All News Items | Medicare Coverage | Billing

Keeping Jurisdiction J (JJ) Providers Informed

In late October we provided an update on the transition of the Jurisdiction J (JJ) Medicare Administrative Contractor (MAC) from Cahaba, GBA to Palmetto, GBA. Since then Palmetto has added a lot of new information to the JJ Transition Hub. This week we look at some of the new updates.

November 15, 2017: Frequently Asked Questions Updated

Palmetto updated the JJ Transition Frequently Asked Questions on November 15th. To make it easier for providers to know what is new, all updates are in red. In addition to once again providing you with the various ways to contact Palmetto, GBA, following are a few of the new FAQs found in this now fourteen page document:

Question: How do I submit a transition question for response?

Answer: Palmetto GBA has several ways JJ Providers can submit transition questions for response. Our preferred mechanism is submitting them via social media by tagging us at our Twitter or Facebook page:

  • Twitter: @PalmettoGBA, @PalmettoGBA_JJA, @PalmettoGBA_JJB, or
  • Facebook: Facebook.com/PalmettoGBA.

Questions can also be submitted via email to This email address is being protected from spambots. You need JavaScript enabled to view it.. Responses to all questions will be posted on the transitions website under FAQs.


Question:
Can we get a contact person for someone in the medical review department to discuss MAC targeted probe and educate and CERT audits?

Answer: As part of the Targeted Probe and Educate (TPE) process, providers will have one-on-one education with the clinician who reviews their claims sample.


Question:
Is there an automated way to access demand letters and Additional Documentation Request (ADR) results letters on your website as these often get lost in the mail?

Answer: Demand letters will be available on eServices after the transition date. The Medical Review, CERT and first level appeal results information will also be available under the eReview tab in eServices.


Question:
Will there be an Audit & Reimbursement phone line?

Answer: Audit & Reimbursement contact information will be published on the website closer to transition.


Question:
We have not had a wage index adjustment in years. Will these be possible with Palmetto GBA?

Answer: The wage index is determined and issued each year by CMS. The MACs do not determine wage index.


Educational Opportunities

Monthly Jurisdiction J Transition Teleconferences

There are two remaining Jurisdiction J Transition Teleconferences scheduled prior to the transition dates. No registration is required to attend these monthly teleconferences.

January 9, 2018
11:00 AM EST to 12:00 PM EST
Participant Toll-Free Dial-In Number: (877)789-3907
Conference ID: 92155253

February 6, 2018
11:00 AM EST to 12:00PM EST
Participant Toll-Free Dial-In Number: (877)789-3907
Conference ID: 92040243

Jurisdiction J (JJ) Transition Workshop Handout

Palmetto, GBA spent time in Alabama, Georgia and Tennessee providing in person workshops. For those that were unable to attend a session, the Workshop Handout has been posted to Palmetto’s Outreach and Education webpage.

Important Dates for the Transition and New Payer Numbers

Palmetto has updated the transition date information to include the new Contractor/Payer numbers by state.

JJ Part A (GA, AL, TN)
Effective Date 1/29/2018
Current Contractor/Payer Number: Alabama – 10101, Georgia – 10201, and Tennessee – 10301
NEW Contractor/Payer Number: Alabama – 10111, Georgia – 10211, and Tennessee – 10311

JJ Part B (GA, AL, TN)
Effective Date 2/26/2018
Current Contractor/Payer Number: Alabama – 10102, Georgia – 10202, and Tennessee – 10302
NEW Contractor/Payer Number: Alabama – 10112, Georgia – 10212, and Tennessee - 10312

What Providers Need to Do

MMP continues to encourage you to do the following to stay informed about the JJ A/B MAC Transition:

  • Review the entire Frequently Asked Questions document and JJ Welcome Letter.
  • Register for listserv email updates from Palmetto GBA. To register simply select listserv at the top of the Palmetto's Transition Website
  • Visit this website for Medicare program information and updates. Palmetto GBA’s website is continually updated with the most current information.
  • Read the MMP Wednesday@One newsletter for future information about Palmetto and the Jurisdiction J transition.

Article by Beth Cobb

Beth Cobb, RN, BSN, ACM, CCDS, is the Manager of Clinical Services at Medical Management Plus, Inc.  Beth has over twenty-five years of experience in healthcare including eleven years in Case Management at a large multi-facility health system.  In her current position, Beth monitors, interprets and communicates current and upcoming Case Management / Clinical Documentation issues as they relate to specific entities concerning Medicare.  You may contact Beth at This email address is being protected from spambots. You need JavaScript enabled to view it..

This material was compiled to share information.  MMP, Inc. is not offering legal advice.  Every reasonable effort has been taken to ensure the information is accurate and useful.

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