Palmetto GBA is offering education as a follow up to the most recent Home Health Probe and Educate Phase II review. Providers should have or will be receiving their final review results letter, which includes a report listing the claims that were included in the review as well as the review decision for each claim.
If you have received your final review results letter, had two or more claims denied, and wish to discuss the results of the review, the Provider Outreach and Education team is offering one-on-one educational sessions via teleconference. Sessions are available on a first come, first served option. To register for a session, providers must: Have a copy of their review results letter with the registration code.
Providers must register for any available session within two weeks of receiving the letter (the date provided in the final review results letter). Note: While the registration must occur within two weeks of the date on the letter, the date of the session selected can be after that date, as long as the registration for the session occurs within the two week window.
Register for no more than one session per provider number.
Ensure all the registration fields are completed, including a valid email address in the contact information (this email address will be used to send an outlook appointment to your email address which gives the teleconference information that will be used to attend your call)
If you would like to invite the certifying referring physician who created the face-to-face documentation to participate in this session, you are welcome to do so as we believe they would benefit from the education session as well.
Notes:
All calls scheduled are at Eastern Standard Time.
Providers that fail to attend their scheduled session will not be allowed to reschedule as the dates and times are limited.
Registering for education does not change the timeframe of submitting a redetermination, which is 120 days from the date of the initial determination as identified on the remittance advice.
Click here for the list of scheduled calls (scroll to bottom of page for dates).