decisionhealth Newsletters, Part B News - 2008 Issue 11 (November)
Use your own NPI when billing outside your MAC jurisdiction
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Article Overview
This short CMS-focused update is for billing and coding staff who handle Medicare claims for mammography screening and diagnostic services across Medicare Administrative Contractor jurisdictions. It summarizes a change described in a CMS transmittal, including the circumstances under which claims are returned and the general reporting information involved, along with the effective date of the change.
Why This Topic Matters
It helps providers and billing teams understand a Medicare claims-processing update that affects how out-of-jurisdiction mammography services are reported, reducing the risk of returned claims and billing delays.
What You Will Learn
- The CMS billing topic addressed in the transmittal
- How the update relates to mammography claims handled outside a MAC jurisdiction
- When the change takes effect
- Where the guidance originated
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle teams
- Physician practices
- Radiology practices
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