As you’ve learned by now, your MAC is responsible for many different activities connected to the enrollment of the provider through to processing claims and appeals. This brief training outlines all the activities for which you’ll look to your local MAC to fulfill.

Whether a provider of service or a team member working with Medicare billing or verification, you must know how to find your MAC and navigate their website. This short training helps you identify which Medicare jurisdiction your state is in and helps find the way to the tools and resources needed to interact with your…

It’s important to recognize the role that the Part B Medicare Administrative Contractor, also known as a MAC, plays in your Medicare relationship. When dealing with Medicare Part B insured patients, the MAC is your “go-to” for many different activities related to providing services. This training outlines the many connections to the MAC that are…

Download Reference Documents The Medicare beneficiary’s ID number changed in recent years. Medicare has provided a dedicated site page that outlines the important aspects of why the identifier changed and how to recognize and use this important number associated with your patient. You can find this information here. The reference document listed on this page …

Enrollment vs. Participation Participation in the Medicare program has nothing to do with Medicare enrollment. All chiropractors that treat Medicare patients must be enrolled in the Medicare program. Enrollment requires the completion of the CMS Form 855—the “Medicare Enrollment Application (See Fig. 1).” An annual open enrollment period held the last few months of the…

Additional “Gap” Coverage Because traditional Medicare Part B coverage is 80% of the allowed charges, beneficiaries may purchase additional insurance to cover the “gap” or other 20%. Some of these payers also pay for services that Medicare never covers. Sometimes, the beneficiary has this coverage through retirement benefits, and other times they must purchase the…