Medicare Part B Newsline March 2012 - Cahaba GBA

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LCD – Pathology and Laboratory: Syphilis Testing- RetiredJ10 MAC B (Alabama, Georgia, Tennessee) (L30013)Carrier 00512 (Mississippi) (L31293)Effective November 7, 2011 the Local Coverage Determinations (LCDs) for Pathology and Laboratory:Syphilis Testing is retired. :Medicare B Newsline March 2012 26
Recovery Audit Contractor (RAC) Demands Letters Tips and Remindersfor Part B ProvidersWith the implementation of Change Request (CR) 7436, responsibility for the issuance of Recovery AuditContractor (RAC) demand letters was shifted to the Medicare Administrative Contractors (MACs) effectiveJanuary 1, 2012. Connolly Healthcare, the RAC for J10 and Mississippi Part B providers, will continue tosubmit claims adjustments to Cahaba Government Benefit Administrators ® , LLC (Cahaba GBA). CahabaGBA will process the adjustments based upon the review conducted by Connolly Healthcare and issue anautomated demand letter.The demand letters are generated based on an automated system setup by CMS which creates letter addressinformation for your practice or office that was obtained from your provider enrollment data. This addressis defined as the “Special Payment” address (e.g., remittance notices, special payments) in Section 4B onyour Provider/Supplier Enrollment application, CMS Form-855B. Providers may choose to update theiraddress information via the CMS Form-855B. Please note this change would impact other demand lettercorrespondence (non-RAC) that is also generated from the “Special Payment” address.Connolly Healthcare continues to be responsible for communicating to providers the rationale for claimadjustments initiated by their office. Connolly Healthcare will also continue sending letters to providerswith this information and is responsible for responding to providers regarding the rationale for the claimadjustments.Providers may visit the Connolly Healthcare RAC website at www.connollyhealthcare.com/RAC to reviewthe rationale for RAC transactions. To access the Provider Portal Login, enter the state abbreviation,Medicare provider number and the total charge amount listed for the appropriate ICN.Contact information for Connolly Healthcare is provided below:Connolly Healthcare RAC OfficeThe Navy Yard Corporate CenterOne Crescent Drive, Suite 300-APhiladelphia, PA 19112Toll-free phone number: (866) 360-2507Fax number: (203) 529-2995For additional information issued review the CMS MLN Matters article athttps://www.cms.gov/MLNMattersArticles/downloads/MM7436.pdf.Medicare B Newsline March 2012 27
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Medicare Part B Newsline March 2012 - Cahaba GBA

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