North Carolina Medicare

Spotlight On… Medicaid Personal Care Services

Posted on June 8, 2011. Filed under: Centers for Medicare & Medicaid (CMS), Health Care, medicaid, Medicare, North Carolina Medicaid, North Carolina Medicare, OIG | Tags: , , , , , |

Recently Reported Are taxpayers footing the bill for improper Medicaid claims for personal care services?   The answer is yes, according to the Office of Inspector General (OIG) of the Department of Health & Human Services. Ongoing and completed OIG work examines Medicaid’s payment for these services around the country – the two most recent [...]

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Online Provider Services: North Carolina Part B

Posted on June 2, 2011. Filed under: Centers for Medicare & Medicaid (CMS), medicaid, Medicare, North Carolina Medicaid, North Carolina Medicare | Tags: , , , , |

Sign up after June 2 for secure and fast access to your Medicare information (view beneficiary eligibility, claims status, online remittances and financial information) through our Online Provider Services System. Register at www.PalmettoGBA.com/ops. You must have an EDI enrollment agreement on file with Palmetto GBA to enroll. http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/8H8FPK6586?opendocument     Applies to: Jurisdiction 11 Part [...]

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Special Alert For North Carolina Part B Providers Regarding Dark Days, Claim Payments and EDI Submissions

Posted on June 2, 2011. Filed under: Centers for Medicare & Medicaid (CMS), medicaid, Medicare, North Carolina Medicaid, North Carolina Medicare | Tags: , , , , |

Beginning on May 28, 2011, Palmetto GBA will become the J11 Part B MAC for North Carolina Part B providers. As we are now approaching the implementation date, North Carolina Part B providers should take special note of these important reminders related to the dark days, cash flow and EDI submissions. http://www.palmettogba.com/palmetto/providers.nsf/ls/Jurisdiction%2011%20Part%20B~8H7P9A2406?opendocument&utm_source=J11BL&utm_campaign=J11BLs&utm_medium=email Applies to: Jurisdiction [...]

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Implementation Updates: North Carolina Part B

Posted on June 1, 2011. Filed under: Centers for Medicare & Medicaid (CMS), medicaid, Medicare, North Carolina Medicaid, North Carolina Medicare | Tags: , , , , |

Implementation Day is right around the corner. Are you ready? Please review the North Carolina Part B implementation guide at www.PalmettoGBA.com/J11B to make sure you’ve completed the ‘get ready’ list and that you know our phone numbers and mailing addresses. http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/8H7PD52736?opendocument       Applies to: Jurisdiction 11 Part B//General Dallas L Alford IV, CPA [...]

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Frequently Asked Questions: North Carolina Part B

Posted on May 26, 2011. Filed under: Centers for Medicare & Medicaid (CMS), medicaid, Medicare, North Carolina Medicaid, North Carolina Medicare | Tags: , , |

This message is for North Carolina Part B providers. Be sure you check out the listing of implementation FAQs that will answer many questions you may have. They should save your office time and money. Go to our Web site atwww.PalmettoGBA.com/J11B and select the Implementation section on the left side. http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/8H5S4R0758?opendocument Applies to: Jurisdiction 11 Part [...]

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Attention North Carolina Part B Providers: Important Information Regarding Where to Send Your North Carolina Part B Refund Checks

Posted on May 25, 2011. Filed under: Centers for Medicare & Medicaid (CMS), medicaid, Medicare, North Carolina Medicaid, North Carolina Medicare | Tags: , , , , , |

Tuesday May 24, 2011 is the last day that CIGNA Government Services will be depositing refund checks received from North Carolina Part B providers. After today all refund checks from NC providers should be sent to Palmetto GBA at: Palmetto GBA P.O Box 100246 Columbia, SC 29202-3246 CGS North Carolina Part B Provider C ustomer [...]

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At a Glance: Differences Between Palmetto GBA and Cigna Government Services (CGS)

Posted on May 25, 2011. Filed under: medicaid, Medicare, North Carolina Medicaid, North Carolina Medicare | Tags: , , |

Effective with the North Carolina Part B implementation, providers will begin billing claims to Palmetto GBA. The majority of Medicare claims will process similarly to the way they were processed under CGS.  However, as with any large scale migration, providers will notice some changes.  In an effort to ensure a successful transition from CGS to [...]

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Electronic Funds Transfer Agreement: North Carolina Part B

Posted on May 25, 2011. Filed under: Centers for Medicare & Medicaid (CMS), Medicare, North Carolina Medicaid, North Carolina Medicare | Tags: , , , |

Attention North Carolina Part B providers: don’t forget to submit your Electronic Funds Transfer Agreement form to receive electronic Medicare payments without delay. http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/8H2Q9L1746?opendocument Applies to: Jurisdiction 11 Part B//General Dallas L Alford IV, CPA is a licensed Certified Public Accountant in the state of North Carolina and owner of Atlantic Financial Consulting, a consulting [...]

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National Correct Coding Initiative Seminars and Webinars – March 2011

Posted on February 27, 2011. Filed under: Forum, medicaid, Medical Learning Network, Medicare, North Carolina Medicaid, North Carolina Medicare | Tags: , , , , , , , , |

In October 2010, DMA began notifying providers through bulletin articles of DMA’s plan to implement the National Correct Coding Initiative (NCCI) on March 31, 2011. The Patient Protection and Affordable Care Act [(H.R. 3590) Section 65607 (Mandatory State Use of NCCI] requires state Medicaid programs to incorporate NCCI methodologies into their claims processing systems by [...]

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Sebelius and Holder Announce New Tools to Prevent and Fight Fraud at Boston Regional Healthcare Fraud Prevention Summit

Posted on December 21, 2010. Filed under: Centers for Medicare & Medicaid (CMS), HHS Updates, medicaid, Medical Learning Network, Medicare, North Carolina Medicaid, North Carolina Medicare | Tags: , , , , , , , |

As part of the Obama Administration’s ongoing efforts to prevent and fight fraud in our nation’s health care system, US Department of Health & Human Services Secretary Sebelius and Attorney General Eric Holder today announced that the Centers for Medicare and Medicaid Services would be acquiring new state-of-the-art fraud fighting analytic tools to prevent wasteful [...]

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