Are Your Visits Being Down-Coded by Medicare? Help SFMS Help You!

Your help is needed to resolve medical review audits conducted by Palmetto GBA!

Photo by Daniel McCann

Claims for which medical records have been requested are now being completed by Palmetto GBA, and SFMS/CMA is hearing from physicians that many of the services are being down-coded.

In order to effectively communicate to CMS our members concerns and frustrations with the medical review audits being conducted by Palmetto GBA, we are collecting data to demonstrate the impact the audits have had on physician practices.

The results will assist us in our discussion points when we meet with CMS. If your office has received requests for medical records from Palmetto, please let us know by taking a moment to complete a brief survey.

Click here to complete the brief survey. It is critical that we receive your response no later than Thursday, February 2.

SFMS/CMA will continue to work with Palmetto and CMS so they understand the burden of locating, copying, and mailing off the requested patient records.

If you’ve experienced any difficulties with Palmetto GBA, please contact our member-only reimbursement helpline at (888) 401-5911.

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