Specialty × MAC Jurisdiction Intelligence
HospiceCMS & MAC AlertsPalmetto GBA · Jurisdictions JJ, JM
Every CMS transmittal, Palmetto GBA LCD revision, Federal Register notice, and OIG alert affecting Hospice billing teams in Georgia, North Carolina, South Carolina, Tennessee, Virginia, West Virginia. Signal-scored and updated daily.
Active alerts
12
Critical / High
11
MAC jurisdiction
JJ, JM
Highest-risk CPT
CPT 99214
Recent Hospice alerts under Palmetto GBA
11 of the 12 most recent Hospice reimbursement alerts are Critical/High-severity for Palmetto GBA (Jurisdictions JJ, JM) billing teams. Each links to the source CMS/MAC document with the codes to review and the action to take.
- CMS Transmittal R13944CP: Reporting Face-to-Face Encounter Conducted by a Hospice Physician or Hospice Nurse Practitioner…Sep 2, 2026
- CMS Transmittal R13924CP: Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for Fiscal…Aug 19, 2026
- CMS Transmittal R13872CP: Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for Fiscal…Aug 8, 2026
- Federal Register Final Rule: Medicare Program; FY 2027 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program RequirementsAug 1, 2026
- LCD L33393: Hospice - Determining Terminal Status — Wellpoint FederalNational Government Services · Jul 24, 2026
- CMS Transmittal R13860CP: Reporting Face-to-Face Encounter Conducted by a Hospice Physician or Hospice Nurse Practitioner…Jul 11, 2026
- Federal Register Proposed Rule: Medicare Program; FY 2027 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program RequirementsJun 5, 2026
- Federal Register Final Rule: Medicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program RequirementsJun 5, 2026
- Federal Register Proposed Rule: Medicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program RequirementsJun 5, 2026
- Federal Register Final Rule: Medicare Program; FY 2025 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program RequirementsJun 5, 2026
- Federal Register Proposed Rule: Medicare Program; FY 2025 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program RequirementsJun 5, 2026
- Federal Register Final Rule: Medicare Program; FY 2024 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, Hospice Quality Reporting Program Requirements, and Hospice Certifying Physician Provider Enrollment RequirementsJun 5, 2026
Signal intelligence — Hospice × Palmetto GBA
Highest-risk CPT code
CPT 99214
Office visit, established patient, moderate complexity
View full CPT alert profilePalmetto GBA jurisdiction
JJ, JM
Covers Georgia, North Carolina, South Carolina, Tennessee, Virginia, West Virginia. Every hospice LCD revision, CMS transmittal, and Federal Register notice affecting these states is signal-scored and surfaced here daily.
View all 12 active alerts for Hospice under Palmetto GBA
Full alert text, action recommendations, effective date deadlines, MAC LCD links, and signal score rationale — updated daily.
About Palmetto GBA (Jurisdictions JJ, JM)
Palmetto GBA is the Medicare Administrative Contractor responsible for processing Medicare Part A and Part B claims in Jurisdictions JJ, JM, covering Georgia, North Carolina, South Carolina, Tennessee, Virginia, West Virginia.Palmetto GBA issues Local Coverage Determinations (LCDs) that define coverage criteria, ICD-10-CM diagnosis code requirements, and CPT billing guidelines for Hospice procedures within its jurisdiction. CLV Intelligence monitors Palmetto GBA's LCD publication feed, provider bulletin archives, and CMS contractor-specific transmittals daily.
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Frequently asked
- What are the recent CMS updates for Hospice under Palmetto GBA MAC?
- According to CLV Intelligence data, updated September 2, 2026, there are currently 12 active CMS and MAC reimbursement policy alerts for Hospice under Palmetto GBA (Jurisdictions JJ, JM). Of these, 11 are classified Critical or High priority based on signal scoring of source authority, effective-date urgency, and document type. Alerts originate from Palmetto GBA Local Coverage Determinations (LCDs), CMS transmittals, Federal Register proposed and final rules, and OIG compliance publications. CLV Intelligence monitors all Palmetto GBA publications daily and assigns a signal score (0–100) to surface the changes most likely to affect coding accuracy and reimbursement.
- How many active audit alerts exist for Hospice CPT codes under Palmetto GBA?
- According to CLV Intelligence data, 12 active reimbursement and policy alerts currently affect Hospice CPT codes monitored under Palmetto GBA (Jurisdictions JJ, JM). 11 of these alerts carry a Critical or High signal score, indicating elevated compliance risk or near-term effective dates requiring timely coding review. The highest-risk CPT code currently flagged in the Hospice alert set is CPT 99214 (Office visit, established patient, moderate complexity), which appears in Palmetto GBA LCD and CMS billing guidance revisions. CLV Intelligence cross-references each alert against the HCPCS and CPT code sets to surface procedure-level exposure for Hospice billing teams.
- Which MAC jurisdiction covers Hospice billing for practices in the Palmetto GBA region?
- Palmetto GBA administers Medicare Part A and Part B claims for practices in Jurisdictions JJ, JM. For Hospice providers, Palmetto GBA issues Local Coverage Determinations (LCDs) that define coverage criteria, billing requirements, ICD-10-CM diagnosis code ranges, and CPT procedure code guidelines applicable to Medicare claims in its jurisdiction. According to CLV Intelligence data, Palmetto GBA monitors 12 open Hospice alerts as of September 2, 2026. Practices in the Palmetto GBA jurisdiction should monitor LCD revisions at Palmetto GBA's provider portal and through aggregated daily alerting services such as CLV Intelligence.
- Is CPT 99214 currently under CMS or MAC review for Hospice?
- According to CLV Intelligence data, CPT 99214 (Office visit, established patient, moderate complexity) is currently flagged as a high-signal procedure code within the Hospice alert set monitored under Palmetto GBA (Jurisdictions JJ, JM). CMS and MAC contractors regularly review high-volume procedure codes for coverage criteria changes, NCCI edit revisions, medical necessity documentation requirements, and fee schedule adjustments. CLV Intelligence assigns CPT 99214 an elevated signal score based on the volume and recency of policy documents referencing this code. Hospice coding teams should review the latest Palmetto GBA LCD and CMS transmittals affecting CPT 99214 before claim submission to avoid denials or post-payment audits.