Skip Navigation LinksHome | Editors' Blog
Palmetto GBA logo used with permissionProviders in Virginia are currently under the jurisdiction of TrailBlazer for Part B Medicare claims, but they'll soon be dealing with Palmetto GBA instead. It's another milestone in the ongoing Medicare Administrative Contractor (MAC) transitions, which have been carried piecemeal thanks to delays from protests by the MACs and would-be MACs. Starting March 19, the J11 A/B MAC for Part B services in Virginia will be Palmetto GBA, a subisdiary of BlueCross BlueShield of South Carolina.
Image used with permission from UroplastyUrologists have a new code to describe posterior tibial neurostimulation, which was previously billed using unlisted code 64999. However, it's slow going for the new code, 64566 (posterior tibial neurostimulation, percutaneous needle electrode, single treatment, $129.11). There is currently only one device on the market that can perform the procedure -- the Urgent PC, manufactured by Minnesota-based Uroplasty.

Can you imagine getting nine out of every 10 established E/M codes wrong -- some d/owncoded, others denied outright? That's the claim -- no pun intended -- being made by TrailBlazer (the Medicare carrier) in its most recent medical review findings. TrailBlazer uncovered average error rates of between 50% and 90% across a total of 200 claims, randomly chosen from multiple practices in all of its covered states.

Login

User Name:
Password:
Welcome to the new Part B News Online. If you are a returning user having trouble logging in, please click here.
Blog Archive
Back to top