Working with MAC

1. What is the best way to stay up-to-date on new or revised Medicare activities/documents?

Read every Medicare publication available
Call the Medicare Office at least once a month
Subscribe to MLN Electronic Newsletter
Search the Internet weekly

2. Where can I find the Medicare guidelines for Documentation, Utilization, and Coding?

On the CMS website under LCDs and Articles
On the MAC Jurisdiction Map
On the Blue Cross Website
In the Compliance Manual

3. Another name for a Private Healthcare Insurer awarded a geographic jurisdiction to process Medicare A and B claims is:

A Secondary Payer
A Supplemental Payer
Blue Cross and Blue Shield
A Medicare Administrative Contractor (MAC)

4. It is recommended that doctors no longer place the date of the last x-ray, or any date, on line 19 of the CMS 1500 Form

True
False

5. The Medicare Coverage Database search option provides a quick way to execute a search. To find the chiropractic articles and LCDs it’s best to search through:

The name of the article
The date the article was published
Advanced Search, then use codes or keywords and indicate your state
Entering key words from the article

6. When setting up an online account with Medicare and other carriers it is important to be sure the information reaches the right person and that the email address can be reassigned. This can be done by:

Using your home email address
Using the general office email address
Creating an email address for the person the information should go to
Creating an email address for the position that interacts with the payer and to whom the information should go

7. For Diagnosis Codes and other information about Medicare, we recommend you use only the MAC Database.

True
False

Working with MAC

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Medicare Curriculum | Section 3