As you are likely
already aware, thousands of
California physicians have been experiencing
Medicare payment problems which have exacerbated
since the transition to Palmetto, the new Medicare
intermediary.
The NPI transition, followed by the NHIC to Palmetto
switch, have together created a nightmare of red tape,
exhaustive waits, rejected claims, slow or no
payments, and massive frustration.
CMA is addressing the underlying systemic issues
with Palmetto, CMS, and Congress. FYI, at CMA's
request, Senator Boxer sent a strongly worded letter to
CMS asking them to fix the problems, quoted in it's
entirety at the end of this NYCU.
SDCMS and CMA are working together to get our
member Physicians paid.
If you are still experiencing payment problems, please
review the issues list below first to see if your issue or
issues are addressed there. If after doing so you still
have questions or problems, please contact your
SDCMS physician advocate, Marisol Gonzalez, at (858)
300-2783 or at MGonzalez@SDCMS.org.
If you are in extremis (as in you're at risk of shutting
down your practice), contact me personally on my cell
phone [(619) 206-8282] or e-mail me at
Gehring@SDCMS.org.
