The Basics
| Date: | JULY 29, 2009 | ||
| Title: |
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| Author: | Laura A. Dummit | ||
| Summary: | This publication describes how Medicare Administrative Contractors (MACs) pay provider bills (or claims) for delivering services to Medicare beneficiaries. The MACs perform various computerized reviews to ensure that the bill is for covered services from enrolled providers to eligible beneficiaries. | ||
| Related Materials: |
"Relative Value Units (RVUs)" (The Basics, February 12, 2009). See also, "Medicare Claim Review Programs: MR,NCCI Edits, MUEs, CERT, and RAC," Centers for Medicare & Medicaid, Medicare Learning Network ICN#006973, October 2008. |
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