decisionhealth Newsletters, Part B News - 2010 Issue 5 (May)
Prepare your practice for a MAC transition; GAO report finds payment delays
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Article Overview
This article reviews a GAO report on Medicare Administrative Contractor (MAC) transitions and the administrative problems that can follow changes in contractors. It is intended for physician practices, billing staff, and revenue cycle professionals who want to understand why transitions can disrupt enrollment, appeals, and claims processing, and what general preparedness steps are discussed at a high level.
Why This Topic Matters
MAC transitions can affect enrollment, appeals, and payment timing for physician practices. The article is relevant for organizations that bill Medicare and need to anticipate operational disruption during contractor changes.
What You Will Learn
- How MAC transitions can affect physician practice operations
- What kinds of administrative backlogs were reported in a GAO review
- Why enrollment and appeals workloads matter during contractor changes
- What broad preparation steps are mentioned for practices facing a MAC transition
Who Should Read This
- Physician practices
- Billing and coding staff
- Revenue cycle managers
- Practice administrators
- Medicare billing professionals
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