tci Medicare Compliance & Reimbursement - 2022 Issue Q4

Industry Notes: Educate Your Billing Partners on Medicare Tools, Rules, and Processes

If you outsource your billing to other companies or agencies, you must ensure that your business partners know the ins and outs of Medicare, warns one Part B Medicare Administrative Contractor (MAC). Context: When verifying Medicare claims status and eligibility, providers, as well as the companies they employee to do their billing, are required to use the Interactive Voice Response (IVR) system or online tools from their specific MACs, according to Centers for Medicare & Medicaid Services (CMS) guidance. In a recent alert, Palmetto GBA noted an uptick in billing companies' and outsourced agencies' failure to use either the...

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