Railroad Medicare Releases Results of Ambulance Claim Review

Railroad Medicare Releases Results of Ambulance Claim Review The Study A little over a week ago, Palmetto GBA, the Medicare Administrative Contractor (MAC) for the Railroad Medicare program, issued the findings derived from a review of incoming ambulance claims they completed between October and December 2012. Palmetto GBA’s Medical Review (MR) department completed what they […]

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PCS — Who Can Sign?

PCS — Who Can Sign? Signature Focus In our last blog post we visited new rules surrounding repetitive transports and the execution of the Physicians Certification Statement (PCS). This post will primarily focus on how to insure the person signing is correct for the PCS you have obtained. Requirement… Remember Medicare requires that a PCS […]

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PCS – Not a Prescription!

PCS – Not a Prescription! “Never mimic the PCS . . .” If you’ve ever attended an Enhanced documentation class, you’ll probably remember hearing the caution “Never mimic the PCS in your narrative.” We’ve taught this for years. Now CMS is backing that statement up with their new final rule amending the regulations for schedule, […]

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