tci Medicare Compliance & Reimbursement - 2015 Issue 10

Industry Notes: Your MAC Doesn't Want A Preauthorization Request

You’d probably feel better about submitting your claims if your MAC first gave you pre-authorization for your services, but this is probably not a feasible route. In fact, Part B MAC National Government Services (NGS) recently sent out a news blast reminding practices to stop requesting preauthorizations. “National Government Services has seen an increase in calls to our provider contact center, asking if Medicare preauthorizes coverage for provided items and services,” the email said. “As a reminder, Medicare does not preauthorize coverage for items or services that will receive payment under Part A or Part...

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