tci Medicare Compliance & Reimbursement - 2009 Issue 22

BILLING: Give Your MAC Permission To Communicate With Billing Company

Prepare ahead of time by designating the billing company on your enrollment form. Health Insurance Portability and Accountability Act (HIPAA) laws were created to prevent your patients' protected health information (PHI) from getting into the wrong hands, but at times, the privacy laws may throw a wrench into your relationship with your billing company.The scenario: You receive a denial from your Medicare Administrative Contractor (MAC) but you are unclear about the service code on the Explanation of Benefits (EOB). You ask your billing company to get to the bottom of the denial, and their representative phones the carrier...

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