PALMETTO GBA TO RESUME POST PAYMENT MEDICAL REVIEWS

To protect the Medicare Trust Fund against inappropriate payments, Medicare Administrative Contractors (MACs), including Palmetto GBA, are resuming fee-for-service medical review activities. Beginning August 17, the MACs are resuming with post-payment reviews of items/services provided before March 1, 2020. The Targeted Probe and Educate program (intensive education to assess provider compliance through up to three rounds of review) will restart later. The MACs will continue to offer detailed review decisions and education as appropriate.