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Home Health & Hospice Week

Reimbursement:

Let Your MAC Communicate With Your Billing Companies

Published on Tue Oct 27, 2009

Prepare ahead of time by designating the billing company on your enrollment form. You must keep your patients' protected health information out of the wrong hands, but that doesn't mean you can't share necessary and relevant information with a billing company if you choose to use one Sample scenario: You receive a denial from your 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. However, the MAC refuses to speak with your billing company rep, citing HIPAA laws that prevent them from discussing your patients' private information with an outside entity. First idea: Your billing rep might offer tosend the MAC a copy of your business associate agreement, but not all MACs will let this type of form fly as an appropriate proof of a [...]
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