BILLING: Give Your MAC Permission to Communicate With Billing Co.

Why This Topic Matters

If a MAC will not discuss claim information with an outside billing company, delays can affect denial follow-up and claims resolution. The article helps readers understand the general administrative steps involved in establishing and maintaining authorization so routine billing communication can proceed more smoothly.

Article Sections

1. HIPAA and communication barriers with the MAC

   Introduces the problem of a Medicare contractor declining to speak with an outside billing company because of privacy concerns. The section frames the issue as one of authorization and permitted communication.

2. Documentation that may be requested

   Discusses the types of written authorization a practice may need to provide to support communication with a billing company. It notes that requirements can vary by contractor.

3. Be proactive with enrollment forms

   Covers the role of Medicare enrollment paperwork in identifying billing company information ahead of time. It emphasizes keeping enrollment records updated when billing arrangements change.

4. Revoking authorization when needed

   Addresses the need to remove a billing company’s authorization if the relationship ends or changes. The section also points readers to where a Medicare enrollment form can be obtained.