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{"DID":"crit15d1eb","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"07-27-2023 07:43","End Date":"07-28-2023 13:01","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, July 28, 2023, for staff training.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit2114dd","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"08-23-2023 10:46","End Date":"08-25-2023 13:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, August 25, 2023, for staff training.\n","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit32a323","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"06-14-2023 15:04","End Date":"06-16-2023 17:30","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed for an eight-hour staff training on Friday, June 16, 2023.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"yes"}, {"DID":"crit34c5e3","Sites":"JJA^JJB^JMA^JMB^JMHHH^Railroad Medicare","Start Date":"03-24-2023 08:40","End Date":"03-26-2023 12:00","Content":"eServices eAudit data is currently unavailable. We are working to resolve this issue and will remove this message when functionality is restored.","URL":"","Target":"_self","Color":"yellow","Mode":"Standard\n","Priority":"no"}, {"DID":"crit4334e1","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"07-11-2023 15:05","End Date":"07-14-2023 13:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, July 14, 2023, for staff training.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit44c243","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"11-16-2023 14:38","End Date":"11-24-2023 18:00","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed November 23 and 24, 2023, in observance of the Thanksgiving holiday.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"yes"}, {"DID":"crita42d51","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"08-31-2023 15:00","End Date":"09-04-2023 17:00","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed Monday, September 4, 2023, in observance of Labor Day.","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crita54bdb","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"05-24-2023 13:47","End Date":"05-29-2023 18:00","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed Monday, May 29, 2023, in observance of Memorial Day.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"yes"}, {"DID":"crita5c5ba","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"11-08-2023 10:22","End Date":"11-10-2023 22:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed for an 8-hour training on Veterans Day, Friday, November 10, 2023.","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"yes"}, {"DID":"critbca1cd","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"11-28-2023 13:50","End Date":"11-28-2023 20:18","Content":"The Provider Contact Center (PCC) has closed for today, November 28, 2023, due to technical issues. The PCC will resume taking calls tomorrow during normal business hours. We apologize for the inconvenience and appreciate your patience. ","URL":"","Target":null,"Color":"red","Mode":"Standard\n","Priority":"yes"}, {"DID":"critce3553","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"09-13-2023 13:16","End Date":"09-15-2023 12:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, September 15, 2023, for staff training","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critd1a1c4","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"06-29-2023 09:58","End Date":"07-04-2023 17:30","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed Tuesday, July 4, 2023, in observance of Independence Day.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critd33c3a","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"11-28-2023 13:50","End Date":"12-01-2023 13:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, December 1, 2023, for staff training.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critdbc2e4","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"10-05-2023 13:16","End Date":"10-09-2023 17:30","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed for an 8-hour training on Columbus Day, Monday, October 9, 2023.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}

Reimbursement

Published 05/02/2023

The Reimbursement department is responsible for reviewing and setting payment rates for Part A providers. This includes reviewing financial data and ensuring the FISS Provider Specific File is properly maintained, performing tentative settlements, reviewing provider-based designation requests and hospital low volume adjustment requests. In addition to accurately reimbursing providers, the reimbursement team is also responsible for receiving and accepting Medicare cost reports.

Tentative Settlements	Tentative Settlements are required by CMS to be completed within 90 days of acceptance of the cost report.
Interim Rate Reviews (IRR)	Perform at a minimum two reviews per year. Typical review occurs at the 4th and 8th month of the provider’s FYE.
Periodic Interim Payments (PIP)	PIP Reviews occur three times per year.
Hospice	Hospices are required to file a self-determined cap no earlier than three months after, and no later than five months after the end of the hospice cap year, September 30. The earliest a hospice may file its self-determined cap is December 31, and the latest is February 28 of each year. Self-Determined Hospice Cap Calculation — Reminder: The Provider Self-Determined Aggregate Cap Limitation Form is Due March 1, 2021
Other	Basics of Provider Level Balance (PLB) Reason Codes Module Stay Up-to-Date on the Latest Medicare Audit and Reimbursement Information
Fiscal Year Ending (FYE) Changes	How to Change Your Cost Reporting Period

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