tci Medicare Compliance & Reimbursement - 2023 Issue Q3

Industry Notes: Ensure Billing Partners Are Using IVR Tools, MAC Urges

If the companies and agencies you utilize to do your Medicare billing aren’t using the Interactive Voice Response (IVR) system, it may be causing both claims and patient privacy issues. Details: Part B Medicare Administrative Contractor (MAC) Palmetto GBA warns providers that it’s noticed an increase of IVR-related problems among billing companies and outsourced partners. “Some are failing and/or refusing to use the IVR or Palmetto GBA eServices,” the Part B MAC says. “Additionally, some of these individuals are not familiar with basic Medicare coverage or billing requirements and explanations and guidance must be...

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