tci Part B Insider - 2012 Issue 19

Physician Note: Claims Sent to Wrong MAC Will Now Be 'Returned As Unprocessable'

Plus: Differentiate your PTAN from your NPI.If your practice routinely sees patients from various states, you're all too familiar with the hassle of dealing with multiple Medicare Administrative Contractors (MACs). CMS has taken steps to streamline its processes when dealing with claims submitted to the wrong MAC, and it could result in additional rejections for your practice.Background: In the past, if you submitted a claim to the wrong MAC, the carrier would handle the situation in one of two ways: It returned assigned claims as "unprocessable" and denied unassigned claims for Part B services sent to the...

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