Added January 2013: I just read a September 2012 article stating that Palmetto GBA has lost the contract for Medicare, which will be reinstating Noridian. I don’t have great memories of Noridian either & am not totally excited about another transitional period, but maybe things will get better.
For the multitudes of Medicare billing personnel that read my blog. lol
This is the letter I sent to Palmetto GBA with a claim today. Yes, we still submit paper claims. Our practice is too small to switch to EDI. And besides. This computer sucks.
Wednesday, April 22, 2009
Dear Palmetto GBA Claims Processing Department,
The attached claim has been denied twice for completely false reasons. We have been struggling with Palmetto for a year trying to accomplish what should be a simple transaction. It’s a known fact that claims get denied for the merest of technicalities dependent upon the processor’s whim, but in the case of this particular claim the denials are happening for technicalities that don’t even exist.
There is currently a very healthy discussion of Palmetto GBA’s inadequacies at this article: http://www.familydocs.org/news-media/news/palmetto-gba-taking-over-nhic-medicare-claims.php#comment-3211
The several pages of comments contain complaints that all have a common thread about your company. Inaccurate claims processing, ignorant claims handling, “surly” provider service representatives.
If you continue to treat providers this way you will leave us no choice but to go to other parties in an attempt to get done what needs to be done. It is your job to process Medicare claims. It is not your job to obstruct the processing of Medicare claims by making numerous errors. Already several addresses for complaints against Palmetto GBA have been mentioned in the comments section of the abovementioned article & it is obstruction like what you are doing with the attached claim that will cause me to use those addresses.
If this claim is denied one more time for bogus reasons I will be submitting all notes & correspondence to every complaint recipient I can find. I’m tired of this & I don’t have time for this kind of nonsense. Neither do you.
FUCK YOU PALMETTO GBA.
(that last part wasn’t in the letter.)