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Patient MR# ACKNOWLEDGEMENT OF DISCHARGE Rev 07/18Reason for discharge Prognosis no longer 6 months or less Revocation of Medicare Hospice Benefit Services in a noncontracted facility for the remainder
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Palmetto GBA - JM is a Medicare Administrative Contractor (MAC) responsible for processing Medicare Part A and Part B claims for the states of North Carolina, South Carolina, Virginia, and West Virginia.
Healthcare providers who submit Medicare Part A and Part B claims in the states covered by Palmetto GBA - JM are required to file with this MAC.
Providers can fill out and submit claims electronically through the Palmetto GBA - JM website or by mail using the appropriate forms.
The purpose of Palmetto GBA - JM is to process and adjudicate Medicare Part A and Part B claims accurately and efficiently for the designated states.
Providers must report patient information, services rendered, diagnosis codes, and any other relevant data required for Medicare reimbursement.
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