tci Medicare Compliance & Reimbursement - 2023 Issue Q1

Industry Notes: MACs Beef Up Provider Authentication Requirements

If you need information from your Medicare Administrative Contractor (MAC) about your claims, make sure you have all your paperwork and credentials in hand — because the MACs are tightening their authentication requirements. Details: To better safeguard Medicare providers’ and beneficiaries’ privacy, the Centers for Medicare & Medicaid Services (CMS) is requiring “certain elements” of authentication before MACs can release claims information, says Part B MAC CGS Medicare in a Feb. 2 alert. “Beginning May 1, 2023, claim- and eligibility-specific calls received in the Provider Contact Center (PCC) that are not properly authenticated will be transferred back...

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