Friday, July 08, 2011

NC Medicare Providers' Outpatient Therapy Problems w/ Palmetto (Which We Never Had With CIGNA Government Services Who Used to Manage Medicare in NC)

Palmetto has been 'managing' NC outpatient Medicare for the past several months (CIGNA Government Services which used to manage Medicare must have been out-bid, resulting in a company that can no longer function efficiently, apparently).

This is what my biller, whom has done an excellent job for a couple of years advises me:

"....This new Medicare company (Palmetto) obviously does not send out denial EOB's before the 13 day pay drop as Cigna did so there was no reason to assume a problem. For some reason, Palmetto wants to see Box 32 (Facility Location were services rendered) completed with your information. This is not the norm since it is typical reserved for hospital, nursing facility, etc. info...."

These are all just barriers to mental health care in NC. This is just going to put more and more mental health providers out of business and these kind of 'glitches' seem to be epidemic now.


Blogger Roy D. Slater said...

What do you have to do to qualify for NC medicare? Does it depend on your age or how much you make? My sister needs some coverage and I'm looking to find some answers for her.

10:36 AM  

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